Active NPI
Liphahlee W Marshall, LCSW
- Clinical Social Worker
- Hamden, CT
National Provider Identifier
1023825742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 013453
- Practice address
- 299 Washington Ave Ste 2a
Hamden, CT 06518-3034 - Phone
- (860) 276-4459
- Fax
- (203) 718-6002
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 013453 | CT | Primary |
Addresses
Primary practice location
299 Washington Ave Ste 2a
Hamden, CT 06518-3034
Mailing address
59 Kaye Vue Dr Apt D
Hamden, CT 06514-2315
Phone (860) 338-5396
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 |
|---|---|---|---|
| 013453 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1023825742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 KAYE VUE DR APT D",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142315",
"telephone_number": "860-338-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 WASHINGTON AVE STE 2A",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183034",
"telephone_number": "860-276-4459",
"fax_number": "203-718-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "LIPHAHLEE",
"middle_name": "W",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "013453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.