Active NPI
Clifford Bernard Marsh, EDD, EDS, MS, MSW
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1285997833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7222
- Practice address
- 615 Mockernut LN
Columbia, SC 29209-4432 - Phone
- (202) 695-0187
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904010807 | VA | |
| Clinical Social Worker | 1041C0700X | 15833 | CT | |
| Clinical Social Worker | 1041C0700X | 32897 | MN | |
| Clinical Social Worker | 1041C0700X | LC200004288 | DC | |
| Clinical Social Worker | 1041C0700X | 7222 | SC | Primary |
Addresses
Primary practice location
615 Mockernut LN
Columbia, SC 29209-4432
Mailing address
615 Mockernut LN
Columbia, SC 29209-4432
Phone (202) 695-0187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15833 | CT | MD | Clinical Social Worker |
| LC200004288 | DC | MD | Clinical Social Worker |
| 7222 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Midlands Neurology & Pain Assoc, P.a | Past | Accepting new patients |
Locations
110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Columbia, SC
- NPI 1629084132
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Columbia, SC
- NPI 1699280644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1285997833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MOCKERNUT LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292094432",
"telephone_number": "202-695-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MOCKERNUT LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292094432",
"telephone_number": "202-695-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "CLIFFORD",
"middle_name": "BERNARD",
"credential": "EDD, EDS, MS, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010807",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "15833",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "32897",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200004288",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "7222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.