Vanessa Marshall, LICSW,LCSW-C,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079066 Issued in DC

Practice address

12002 Hunterton St
Upper Marlboro, MD 20774-1614

Phone

(301) 537-6964

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1396020228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 HUNTERTON ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741614",
            "telephone_number": "301-537-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 HUNTERTON ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741614",
            "telephone_number": "301-537-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "LICSW,LCSW-C,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "DC",
            "license": "LC50079066",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079066",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "16909",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "LC50079066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlborough Village Pediatric Dental
• Marie Marotti, RN
• Marva A Marsh, PT
• Amber J Marshall, MD
• Roma Marshall
• Tyra Martin
• Mary's House of Greater Washington, Inc. (Carespring Services)
• Maryland CVS Pharmacy LLC (CVS Pharmacy #16395)
• Maryland CVS Pharmacy LLC (CVS Pharmacy 01795)
• Maryland CVS Pharmacy LLC (CVS Pharmacy #01505)

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.