Active NPI
Penelope Marshall, M.S.W.
- Clinical Social Worker
- Bonita Springs, FL
National Provider Identifier
1003811878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PSW 632
- Practice address
- 9220 Bonita Beach Rd
Ste 227
Bonita Springs, FL 34135-4236 - Phone
- (239) 293-0122
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PSW 632 | FL | Primary |
Addresses
Primary practice location
9220 Bonita Beach Rd
Ste 227
Bonita Springs, FL 34135-4236
Mailing address
10080 Spyglass Hill LN
Ft Myers, FL 33912-7971
Phone (239) 275-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSW632 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSW 632 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003811878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 SPYGLASS HILL LN",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339127971",
"telephone_number": "239-275-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 BONITA BEACH RD",
"address_2": "STE 227",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354236",
"telephone_number": "239-293-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PENELOPE",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "PSW 632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PSW632",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.