Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Bolognini

Individual provider Clinical Social Worker · NPI 1023626041

Marisa Bolognini is a Clinical Social Worker in Tallahassee, Florida. Qualified in 2018, 8 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
8
In the registry since
2020
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Practice location Address checks out

2600 Centennial Pl Ste 200
Tallahassee, FL 32308-0583
Phone: (850) 431-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6309 Mack Ave, Detroit, MI 48207-2302 — (313) 331-3435

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1023626041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2020
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing addressPo Box 748967, Atlanta, GA 30374-8967

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Tallahassee