Marcus Boatman, LISW – Clinical Social Worker

Key facts

NPI: 1174170302
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: I.2405294 (OH)
Practice address: 1229 Lincoln Hwy
Van Wert, OH 45891-1877
Phone: (419) 238-1695
Fax: (419) 238-1007
NPI assigned: Aug 22, 2019
Sex: Male
Sole proprietor: No

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.

The Marsh Foundation Community/Behavioral Health Agency · Van Wert, OH · NPI 1912987371

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
I.2405294	OH	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
The Marsh Foundation		Current since Mar 31, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	I.2405294	OH	Yes

Addresses

Primary practice location

1229 Lincoln Hwy
Van Wert, OH 45891-1877

Mailing address

PO Box 150
Van Wert, OH 45891-0150
Phone (419) 238-1695

Other identifiers

Identifier	Type	State	Issuer
0367421	Medicaid	OH
16169669	Other		CAQH

Other providers in Van Wert, OH

All providers in Van Wert, OH · Clinical Social Worker in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.