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

Marisusan Fryant, LCSW

Individual provider Clinical Social Worker · NPI 1164165502

Marisusan Fryant, LCSW is a Clinical Social Worker in Gainesville, Virginia. Qualified in 1998, 28 years ago. Practices with Stellar Clinic CT PLLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.

Years since qualifying
28
Licensed in
NC, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7051 Heathcote Village Way Ste 115
Gainesville, VA 20155-3197
Phone: (804) 207-6737
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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 0904013738 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence C014883 (NC)

Record details

NPI number1164165502
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Stellar Clinic Ct Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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