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

Marissa S Odonley-Borchert

Individual provider Mental Health Counselor · NPI 1215560651

Marissa S Odonley-Borchert is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Porter-Starke Services Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

7941 Castleway Dr
Indianapolis, IN 46250-1953
Phone: (219) 781-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34011402A (IN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215560651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2020
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Porter-Starke Services Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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