Marsha Tillman Carlton, LCSW
Individual provider Active NPI Clinical Social Worker · Moultrie, GA
NPI 1164050647 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1164050647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW006949 (GA)
- Practice address
- 3015 Veterans Pkwy S
Moultrie, GA 31788-6705 - Phone
- (912) 844-2250
- Fax
- (229) 891-9372
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006949 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006949 | GA | Yes |
Addresses
Primary practice location
3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Mailing address
2412 Jacqueline Cir
Moultrie, GA 31768-6738
Phone (912) 844-2250
Other providers in Moultrie, GA
- Jillian Cardwell
- Melissa Cardwell
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Dorothy Virginia Carpenter
- Matthew William Carter
- Kiana Ann Cavin I
- Central Orthotics, Inc.
- Heather M Champion
All providers in Moultrie, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.