Active NPI
Ivy Rose Marsh, LCSW
- Clinical Social Worker
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L15930
- Practice address
- 167 N Adams St
Eugene, OR 97402-4203 - Phone
- (512) 767-0685
- NPI assigned
- Mar 12, 2009
- Last updated
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12531458-3501 | UT | |
| Clinical Social Worker | 1041C0700X | L15930 | OR | Primary |
| Clinical Social Worker | 1041C0700X | 42293 | TX |
Addresses
Primary practice location
167 N Adams St
Eugene, OR 97402-4203
Mailing address
167 N Adams St
Eugene, OR 97402-4203
Phone (512) 767-0685
Other practice location 1
275 E South Temple Ste 350
Salt Lake City, UT 84111-1272
Phone (512) 767-0685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L15930 | OR | MD | Clinical Social Worker |
| 12531458-3501 | UT | MD | Clinical Social Worker |
| 42293 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buny Moon Therapy, Pllcs | Current | Accepting new patients | |
| Austin Stillpoint Psychotherapy | Clinical | Current | Accepting new patients |
| Noetic Psychiatry, PLLC | Current | Accepting new patients |
Locations
275 E South Temple
Ste 350
Salt Lake City, UT 84111
Phone (512) 767-0685
672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Salt Lake City, UT
- NPI 1053125658
-
- Clinical Social Worker
- Austin, TX
- NPI 1285936898
-
- Psychiatry Physician
- Springville, UT
- NPI 1679953756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1427299932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 N ADAMS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024203",
"telephone_number": "512-767-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 N ADAMS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024203",
"telephone_number": "512-767-0685"
}
],
"practiceLocations": [
{
"address_1": "275 E South Temple Ste 350",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111272",
"country_code": "US",
"telephone_number": "512-767-0685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSH",
"first_name": "IVY",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12531458-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L15930",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "42293",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.