Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154715894 Individual Practitioner Female Practitioner

Marnessa J Bambara , LCSW

Social Worker • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Marnessa Bambara, LCSW is a registered healthcare professional specializing in Social Worker in Boulder, CO. Practice services are available at 4770 BASELINE RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4770 Baseline Rd Ste 200

Boulder, CO 803032668

Telephone 7208930842
Fax 6175071426
Associated Practice Facility / Clinic
🏢 Joseph Yeretsian, P.c. Facility NPI 1942668165

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
67 Specialists

Practicing in Boulder, CO (1830 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CO 09926336

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License NY 087302

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

148 Wilson Ave

Brooklyn, NY 112378042

Phone: 9175094183

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Joseph Yeretsian , MD

Psychiatry & Neurology - Psychiatry

NPI 1003070210

Doctor of Medicine (M.D.)

Dolores Muzer

Counselor - Professional

NPI 1306308945
Sarah Schumacher , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336687060

Psychiatric-Mental Health Nurse Practitioner

NPI 1457539603

Doctor of Psychology (Psy.D.)

Jeffrey Coffman

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881567485

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 13, 2020

Registered at 4770 BASELINE RD STE 200, BOULDER, CO 803032668 (Tel: 7208930842)

📍
Updated Business Mailing Address April 13, 2020

Registered at 4770 BASELINE RD STE 200, BOULDER, CO 803032668 (Tel: 7208930842)

👤
Provider Name / Credentials Updated April 13, 2020

Recorded as MARNESSA BAMBARA, LCSW

NPI Profile Active November 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2017

Registered at 148 WILSON AVE, BROOKLYN, NY 112378042 (Tel: 9175094183)

📍
Updated Business Mailing Address November 30, 2017

Registered at 148 WILSON AVE, BROOKLYN, NY 112378042 (Tel: 3474748464)

👤
Provider Name / Credentials Updated November 30, 2017

Recorded as MARNESSA KAISER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2017

Social Worker (License #087302 in NY)

NPI Profile Active April 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2015

Registered at 148 WILSON AVE, BROOKLYN, NY 112378042 (Tel: 9175094183)

📍
Updated Business Mailing Address April 08, 2015

Registered at 148 WILSON AVE, BROOKLYN, NY 112378042 (Tel: 9175094183)

👤
Provider Name / Credentials Updated April 08, 2015

Recorded as MARNESSA KAISER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2015

Social Worker (License #087302 in NY)

🟢
Initial NPI Registration & Enumeration March 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154715894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2015
Last Update: April 13, 2020
Sole Proprietor: No

Mailing Address

4770 Baseline Rd Ste 200

Boulder, CO 803032668

Phone: 7208930842

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.