Organization Active NPI

Alderman and Marshall Inc.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1306163274
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS15743 Issued in CA
Legal business name
ALDERMAN AND MARSHALL INC.
Practice address
5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone
(619) 260-1357
Fax
(619) 238-1460
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Ms. Karen L Marshall, LCSWNPI 1205878212
Title
President
Phone
(619) 260-1357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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) 260-1357

Other identifiers 2

IdentifierTypeStateIssuer
3692941MedicaidCA
1205878212OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100510000346 CA Part B Supplier - Clinic/Group Practice 5799813903 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1306163274",
    "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": "619-260-1357",
            "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": "619-260-1357",
            "fax_number": "619-238-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERMAN AND MARSHALL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-260-1357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205878212",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karenm.lcsw@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "practice email",
            "affiliationName": "Alderman and Marshall Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct contact email",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.