Individual ProviderMarissa MichalkeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703(253) 851-3808(253) 886-1366PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Michalke is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1366858219Provider TypeIndividualFull NameMichalke, MarissaCredentialLICSW, SUDPGenderFemaleSole ProprietorNoEnumeration Date7/10/2014Last Updated5/12/2024Contact InformationPractice LocationPractice Address4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703Phone(253) 851-3808Fax(253) 851-3188Mailing LocationMailing Address4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703Phone(253) 886-1366FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW60804511WashingtonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCP60684686Washington