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Marnessa J Bambara , LCSW

Social Worker β€’ Boulder, CO

Active NPI 1154715894 Individual Practitioner Female Practitioner
Practice location in NPPES

4770 Baseline Rd Ste 200
Boulder, CO 803032668

Call 7208930842 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4770 Baseline Rd Ste 200

Boulder, CO 803032668

Telephone 7208930842
Fax 6175071426
Organization at the Same NPPES Address or Phone
Joseph Yeretsian, P.c. Facility NPI 1942668165

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Brooklyn, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boulder and Colorado

68 active clinicians are listed under Social Worker with a practice address in Boulder, CO (1,897 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

0% of these 68 clinicians have the CMS telehealth indicator.

0% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Secondary Practice Locations

148 Wilson Ave

Brooklyn, NY 112378042

Phone: 9175094183

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Sarah Schumacher , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336687060

Psychiatric-Mental Health Nurse Practitioner

NPI 1457539603

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location April 13, 2020

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

πŸ“
Updated Business Mailing Address April 13, 2020

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

🏒
Secondary Practice Location Registered April 13, 2020

Additional practice office at 148 Wilson Ave, Brooklyn, NY 112378042

πŸ‘€
Provider Name / Credentials Updated April 13, 2020

Recorded as MARNESSA BAMBARA, LCSW

βœ…
NPI Profile Active November 30, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 30, 2017

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

πŸ“
Updated Business Mailing Address November 30, 2017

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

πŸ‘€
Provider Name / Credentials Updated November 30, 2017

Recorded as MARNESSA KAISER

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

Social Worker (license number reported to NPPES: NY 087302)

βœ…
NPI Profile Active April 08, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2015

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

πŸ“
Business Mailing Address (Initial Record) April 08, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2015

Recorded as MARNESSA KAISER

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

Social Worker (license number reported to NPPES: NY 087302)

🟒
Initial NPI Registration & Enumeration March 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.