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 3 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