Marcus Aarron McDuffie Sr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63258 Issued in TX

Practice address

4728 Ramon Vega LN
El Paso, TX 79938-1220

Phone

(915) 257-9484

NPI assigned

Aug 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Desert Wolf Therapy PLLC

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1912578709
  NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1407523798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GEORGE DIETER DR # 961846",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363815",
            "telephone_number": "915-257-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 RAMON VEGA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799381220",
            "telephone_number": "915-257-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "MARCUS",
        "middle_name": "AARRON",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duncan McDonald, PT
• Tammy McDonald
• Will G McDonough, MD
• Arenda Skyee McDowell, RDH
• Melanie McDowell
• Tyrone Durant McDuffie Jr.
• Patrick Edward McElaney, MD
• Diane McElroy, CNM
• Natalie McFadden
• Robert Emmett McFadden, D.D.S.

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.