Carl Marcus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016146 Issued in PA

Practice address

1489 Baltimore Pike
Building 200, Suite 250
Springfield, PA 19064-3958

Phone

(610) 544-2110

Fax

(610) 604-9510

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1124199302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NARBROOK PARK",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722123",
            "telephone_number": "610-667-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "BUILDING 200, SUITE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Charles Mandel, D.M.D.
• Sean Mann, PT, DPT
• Kaday Marah
• Danielle Marie Marchetti, RPH,CIP
• Tiffany Michelle Marcoe
• Marlowe Zwillenberg & Ghaderi LLC
• Rocky Marsero, ATC, LAT
• Daniel S Martin, MD
• Marymorbariatricsllc
• Terri Jo Anne Massey, LCSW

• Clinical Social Worker in Springfield, PA
• Providers in Springfield, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.