Individual provider Active NPI

Christopher Dickson Marshall, LCSW

  • Clinical Social Worker
  • Newark, NJ
National Provider Identifier
1184070336
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020838 Issued in PA
Practice address
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone
(267) 999-9534
Fax
(833) 613-2680
NPI assigned
May 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 44SC06170900 NJ
Clinical Social Worker 1041C0700X CW020838 PA Primary

Addresses

Primary practice location

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323

Mailing address

228 Park Ave S
PMB 36149
New York, NY 10003-1402
Phone (267) 999-9534

Other practice location 1

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Phone (267) 999-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615000781 PA Practitioner - Clinical Social Worker 7113306515 Reassigns benefits to 1 organization
I20230728003062 NJ Practitioner - Clinical Social Worker 7113306515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quartet Medical GroupGroup PAC ID 5294274536, 13 clinicians

Practice addresses (Care Compare)

Erie, PA 16506
Phone (833) 258-8498

1 Gateway Ctr
Suite 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quartet Medical Group Clinical CurrentSince Aug 1, 2024 Accepting new patients
Marshall Wellness LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Quartet Medical Group of New Jersey Professional Corporation Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

3939 W Ridge Rd
Ste 100
Erie, PA 16506
Phone (267) 999-9534

1601 Market St
Ste 1500
Philadelphia, PA 19103
Phone (267) 999-9534

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

Interoperability endpoints

  • Direct secure messaging: christopher.marshall.1@26068.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1184070336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "address_2": "PMB 36149",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031402",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR STE 2600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025323",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Juniper St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071316",
            "country_code": "US",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DICKSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06170900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.