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

Marissa Mahanna, MINNESOTALSW

Individual provider Social Worker · NPI 1023784543

Marissa Mahanna, MINNESOTALSW is a Social Worker in Fargo, North Dakota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

414 11th St N
Fargo, ND 58102-4312
Phone: (701) 478-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 19282 (MN)

Record details

NPI number1023784543
Entity typeIndividual (Type 1)
GenderFemale
Credentials MINNESOTALSW
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

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