Tracy Marshall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71005 Issued in CA

Practice address

930 W Harris St
Eureka, CA 95503-3927

Phone

(707) 269-7571

Fax

(707) 269-7556

NPI assigned

Jan 17, 2017

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Arcata, CA
  • NPI 1497751572
  Medicare reassignment NPD
• Humboldt Counseling Connection

  • Mental Health Counselor
  • Eureka, CA
  • NPI 1184423386

  Clinical

  NPD
• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Eureka, CA
  • NPI 1588660104
  NPD
• United Indian Health Services, Inc.

  • Community Health Clinic/Center
  • Arcata, CA
  • NPI 1699506121
  NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1114463965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033927",
            "telephone_number": "707-269-7571",
            "fax_number": "707-269-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033927",
            "telephone_number": "707-269-7571",
            "fax_number": "707-269-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Marrero-Castro, RN
• Teresita Marroquin I
• Eva Teresa Marshall, M.D.
• Jonathan Marshall
• Parri Marshall
• Elizabeth Jo Martella, LVN
• Annie Martens
• Martin E. Turkis,OD,Inc
• Deborah Martin
• Eric Martin, B.A.

• Clinical Social Worker in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.