Healthcare Provider Details

I. General information

NPI: 1548542848
Provider Name (Legal Business Name): MARISA ZUNIGA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 DUNHAM RIDGE RD STE 3200
BEVERLY MA
01915
US

IV. Provider business mailing address

PO BOX 27
SALEM MA
01970-0027
US

V. Phone/Fax

Practice location:
  • Phone: 978-600-0816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119035
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: