Healthcare Provider Details

I. General information

NPI: 1760120901
Provider Name (Legal Business Name): MARISSA KUHL MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date: 01/08/2023
Reactivation Date: 06/04/2024

III. Provider practice location address

7702 E DOUBLETREE RANCH RD STE 300
SCOTTSDALE AZ
85258-2132
US

IV. Provider business mailing address

13940 E SAND FLOWER DR
SCOTTSDALE AZ
85262-1203
US

V. Phone/Fax

Practice location:
  • Phone: 480-535-7722
  • Fax:
Mailing address:
  • Phone: 540-525-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-20470
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: