Marsha Tillman Carlton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006949 Issued in GA

Practice address

3015 Veterans Pkwy S
Moultrie, GA 31788-6705

Phone

(912) 844-2250

Fax

(229) 891-9372

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1164050647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 JACQUELINE CIR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686738",
            "telephone_number": "912-844-2250",
            "fax_number": "229-891-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "912-844-2250",
            "fax_number": "229-891-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "MARSHA",
        "middle_name": "TILLMAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Cardwell
• Melissa Cardwell, DO
• Careconnect Health, Inc. (Pediatric Convenient Care)
• Careconnect Health, Inc. (CareConnect Pediatrics)
• Careconnect Health, Inc. (CareConnect Urgent Care)
• Dorothy Virginia Carpenter, LPC
• Matthew William Carter, D.M.D.
• Kiana Ann Cavin I, LPN
• Central Orthotics, Inc.
• Heather M Champion, NP

• Clinical Social Worker in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.