Shirley Markland, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000695 Issued in VT

Practice address

7 Court SQ
Rutland, VT 05701-4030

Phone

(802) 775-4388

Fax

(802) 775-3307

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutland Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Rutland, VT
  • NPI 1245127620
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043390339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057331127",
            "telephone_number": "802-247-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT SQ",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014030",
            "telephone_number": "802-775-4388",
            "fax_number": "802-775-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLAND",
        "first_name": "SHIRLEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1895",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00039279",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marble Valley Healthworks, LLC
• Marc a. Cecil, PH.D., P.C.
• Claudia Marceau, DMD
• Mark C. Stickney, MD, LLC
• Mark E Logan MD PC
• David Marquis
• Debra Marro, LMFT
• Mary Elizabeth Marron, PSYD.
• Eric James Marsh, MD
• Samantha Marszalkowski, MS

• All providers in Rutland, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.