Active NPI
Michele Lynn Marsh, LCSW, ACSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1124142070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004055A
- Practice address
- 5610 Crawfordsville Rd Ste 22
Indianapolis, IN 46224-3727 - Phone
- (317) 246-4016
- Fax
- (317) 243-2328
- NPI assigned
- Mar 18, 2007
- 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 | 34004055A | IN | Primary |
Addresses
Primary practice location
5610 Crawfordsville Rd Ste 22
Indianapolis, IN 46224-3727
Mailing address
205 Parthenia Ave
Brownsburg, IN 46112-1131
Phone (317) 858-0828
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004055A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Clinic | Past | Accepting new patients | |
| Gabra S Gachaw MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Family Couseling Center
- Mental Health Counselor
- Avon, IN
- NPI 1922199165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1124142070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PARTHENIA AVE",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121131",
"telephone_number": "317-858-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 CRAWFORDSVILLE RD STE 22",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243727",
"telephone_number": "317-246-4016",
"fax_number": "317-243-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004055A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.