MEDICARE: MARISA ZUNIGA LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	119035	MA

General Provider Information

NPI Number	:	1548542848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA ZUNIGA LICSW

Provider Business Mailing Address
First Line	:	PO BOX 27
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-0027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 DUNHAM RIDGE RD
Second Line	:	STE 3200
City	:	BEVERLY
State	:	MA
Zip	:	01915
Country	:	US
Telephone Number	:	978-600-0816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	06/04/2026

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