Individual provider Active NPI

Marcia McGill, MSW

  • Clinical Social Worker
  • Bellevue, KY
National Provider Identifier
1457409054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY-976 Issued in KY
Practice address
103 Landmark Dr
Siute 240
Bellevue, KY 41073-1393
Phone
(859) 292-3900
Fax
(859) 292-3903
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X KY-976 KY Primary
Clinical Social Worker 1041C0700X 0005483 OH

Addresses

Primary practice location

103 Landmark Dr
Siute 240
Bellevue, KY 41073-1393

Mailing address

103 Landmark Dr
Siute 240
Bellevue, KY 41073-1393
Phone (859) 292-3900

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

LicenseStateTypeSpecialty
KY-976KYMDClinical Social Worker
0005483OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thor Tangvald M.D. Inc. Past Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457409054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "SIUTE 240",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731393",
            "telephone_number": "859-292-3900",
            "fax_number": "859-292-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "SIUTE 240",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731393",
            "telephone_number": "859-292-3900",
            "fax_number": "859-292-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MARCIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-976",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0005483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.