Active NPI
Carolyn Jule Marshall, LCSW
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1013563675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63705
- Practice address
- 3400 Coit Rd.
#260594
Plano, TX 75075 - Phone
- (214) 205-4539
- NPI assigned
- Aug 9, 2019
- 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 | 63705 | TX | Primary |
Addresses
Primary practice location
3400 Coit Rd.
#260594
Plano, TX 75075
Mailing address
PO Box 260594
Plano, TX 75026-0594
Phone (214) 205-4539
Other practice location 1
550 S Watters Rd
Allen, TX 75013-5223
Phone (214) 475-0345 ext. 101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | TX | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjmarshall@theffccenter.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63705 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1013563675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260594",
"city": "PLANO",
"state": "TX",
"postal_code": "750260594",
"telephone_number": "214-205-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 COIT RD.",
"address_2": "#260594",
"city": "PLANO",
"state": "TX",
"postal_code": "75075",
"telephone_number": "214-205-4539"
}
],
"practiceLocations": [
{
"address_1": "550 S Watters Rd",
"address_purpose": "LOCATION",
"city": "Allen",
"state": "TX",
"postal_code": "750135223",
"country_code": "US",
"telephone_number": "214-475-0345 x101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "CAROLYN",
"middle_name": "JULE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2022-07-22",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjmarshall@theffccenter.com",
"affiliation": "N",
"endpointDescription": "Business Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "550 S Watters Rd",
"city": "Allen",
"state": "TX",
"country_code": "US",
"postal_code": "750135223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.