Marshall Joseph Chavis, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO19390 Issued in NC

Practice address

943 W Andrews Ave Ste N
Henderson, NC 27536-2562

Phone

(252) 598-2462

Fax

(919) 435-8070

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Transitional Therapeutic Services, LLC

  • Mental Health Counselor
  • Rolesville, NC
  • NPI 1316532641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1083393029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 FERDILAH LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105959",
            "telephone_number": "919-376-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE N",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362562",
            "telephone_number": "252-598-2462",
            "fax_number": "919-435-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "MARSHALL",
        "middle_name": "JOSEPH",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO19390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Carter, CNA
• Cornelius F Cathcart, M.D.
• Mary Leann Michelle Cathcart, CPNP
• Fuller Caton
• Central Carolina Physical Therapy
• Gayle Merritt Cheek, RPH
• Tameka Nicole Cherry
• Lakshmi Kanth Chinappa Nagappa, M.D.
• Chosen Associates
• Doniqua Monae Clark

• Clinical Social Worker in Henderson, NC
• Providers in Henderson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.