Provider Demographics
NPI:1760120901
Name:KUHL, MARISSA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:KUHL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13940 E SAND FLOWER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-1203
Mailing Address - Country:US
Mailing Address - Phone:540-525-7722
Mailing Address - Fax:
Practice Address - Street 1:7702 E DOUBLETREE RANCH RD STE 300
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2132
Practice Address - Country:US
Practice Address - Phone:480-535-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2025-06-01
Deactivation Date:2023-01-08
Deactivation Code:
Reactivation Date:2024-06-04
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-204701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical