Individual provider Active NPI

Karen L Marshall, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1205878212
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS15743 Issued in CA
Practice address
5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone
(619) 405-1119
Fax
(619) 238-1460
NPI assigned
Jun 12, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS15743 CA Primary

Addresses

Primary practice location

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019

Mailing address

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone (619) 405-1119

Other identifiers 2

IdentifierTypeStateIssuer
1205878212OtherCANPPES
3692941MedicaidCA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Karenm.lcsw@outlook.com Direct Alderman and Marshall Inc.
Direct Messaging Address karenm.lcsw@outlook.com Direct Alderman and Marshall Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100510000425 CA Practitioner - Clinical Social Worker 1658409875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5959 Mission Gorge Rd
Suite 106
San Diego, CA 92120-4019
Phone (619) 405-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS15743CAMDClinical Social Worker

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, 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205878212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "619-405-1119",
            "fax_number": "619-238-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "619-405-1119",
            "fax_number": "619-238-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1205878212",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692941",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karenm.lcsw@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Alderman and Marshall Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "individual email account associated with business",
            "address_1": "3130 Fifth Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921035839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karenm.lcsw@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "professional email",
            "affiliationName": "Alderman and Marshall Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "contact for  alderman and marshall inc and karen marshall provider",
            "address_1": "5959 Mission Gorge Rd Ste 106",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921204019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.