Individual provider Active NPI

Jessica Marsh

  • Clinical Social Worker
  • Chestertown, MD
National Provider Identifier
1417651324
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30218 Issued in MD
Practice address
818 High St Ste 5
Chestertown, MD 21620-1152
Phone
(443) 480-9317
NPI assigned
Mar 27, 2023
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AC3387
Clinical Social Worker 1041C0700X 30218 MD Primary

Addresses

Primary practice location

818 High St Ste 5
Chestertown, MD 21620-1152

Mailing address

818 High St Ste 5
Chestertown, MD 21620-1152
Phone (443) 480-9317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204002788 MD Practitioner - Clinical Social Worker 7214420595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

818 High St
Suite 5
Chestertown, MD 21620-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30218MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marsh Wellness, LLC CurrentSince Oct 30, 2025 Accepting new patients
Corsica River Mental Health Services, Inc. Past Accepting new patients

Locations

818 High St
Ste 5
Chestertown, MD 21620
Phone (410) 778-5550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1417651324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 5",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "443-480-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 5",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "443-480-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "AC3387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.