Individual provider Active NPI

Rae Marie Marsh, LCSW

  • Clinical Social Worker
  • New Hill, NC
National Provider Identifier
1174943419
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009941 Issued in NC
Practice address
2538 Great Daisy LN
New Hill, NC 27562-9353
Phone
(919) 438-0837
NPI assigned
Apr 25, 2014
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009941 NC Primary
School Social Worker 1041S0200X 1105051 NC

Addresses

Primary practice location

2538 Great Daisy LN
New Hill, NC 27562-9353

Mailing address

2538 Great Daisy LN
New Hill, NC 27562-9353
Phone (919) 438-0837

Other practice location 1

202 Private Cooper Ln Apt 2C
Jamestown, NC 27282-8781
Phone (336) 303-1288

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C009941NCMDClinical Social Worker
1105051NCMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1174943419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 GREAT DAISY LN",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275629353",
            "telephone_number": "919-438-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 GREAT DAISY LN",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275629353",
            "telephone_number": "919-438-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Private Cooper Ln Apt 2C",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272828781",
            "country_code": "US",
            "telephone_number": "336-303-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "RAE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009941",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "1105051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.