Active NPI
Marcia L. Cantrell, LCSW
- Clinical Social Worker
- Richmond, IN
National Provider Identifier
1164530648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007899A
- Practice address
- 2300 Chester Blvd
Richmond, IN 47374-1221 - Phone
- (765) 939-2395
- Fax
- (765) 939-2425
- NPI assigned
- Aug 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I0008612 | OH | |
| Clinical Social Worker | 1041C0700X | 34007899A | IN | Primary |
Addresses
Primary practice location
2300 Chester Blvd
Richmond, IN 47374-1221
Mailing address
2201 NW Washington Blvd
Ste a
Hamilton, OH 45013
Phone (513) 869-7000
Other practice location 1
2201 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 869-7000
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 |
|---|---|---|---|
| I0008612 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Holtman, M.D. and Associates Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Hamilton, OH
- NPI 1750506556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1164530648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 NW WASHINGTON BLVD",
"address_2": "STE A",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45013",
"telephone_number": "513-869-7000",
"fax_number": "513-785-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHESTER BLVD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741221",
"telephone_number": "765-939-2395",
"fax_number": "765-939-2425"
}
],
"practiceLocations": [
{
"address_1": "2201 NW Washington Blvd",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "45013",
"country_code": "US",
"telephone_number": "513-869-7000",
"fax_number": "513-785-4272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTRELL",
"first_name": "MARCIA",
"middle_name": "L.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0008612",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007899A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.