Susan Jean Marvin, LISW
Individual provider Active NPI Clinical Social Worker · Clarion, IA
NPI 1285629709 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1285629709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 05865 (IA)
- Practice address
- 103 2ND Ave NE
Clarion, IA 50525-1430 - Phone
- (515) 532-3338
- Fax
- (515) 532-3339
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05865 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Jean Marvin | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05865 | IA | Yes |
Addresses
Primary practice location
103 2ND Ave NE
Clarion, IA 50525-1430
Mailing address
PO Box 474
Humboldt, IA 50548-0474
Phone (515) 295-3334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113858 | Other | IA | HEALTH ALLIANCE |
| 1700416535 | Other | IA | GEHA |
| 257155 | Other | IA | COMPSYCH |
| 9385520 | Other | IA | PRIVATE HEALTH CARE |
| 244803 | Other | IA | MIDLANDS CHOICE |
| 39107 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0482232 | Medicaid | IA | |
| 11472254 | Other | IA | CAQH |
| 5682627 | Other | IA | FIRST HEALTH |
Other providers in Clarion, IA
- Kelly Langfitt
- Marissa Marie Larson
- Kylie Leewright
- Valerie Noel Martin
- Kris Earl Marvin
- Emily McGuire
- Andrea Marie McLoughlin
- Michael Joseph McLoughlin
- Danielle McMillen
- Andrew Joseph McMurray
All providers in Clarion, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. 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.