Harriet H Marquis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

COO3076 Issued in NC

Practice address

341 Ayugidv CT
Brevard, NC 28712-7483

Phone

(828) 883-5699

Fax

(828) 883-5699

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457438657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 AYUGIDV CT",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287127483",
            "telephone_number": "828-883-5699",
            "fax_number": "828-883-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 AYUGIDV CT",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287127483",
            "telephone_number": "828-883-5699",
            "fax_number": "828-883-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "HARRIET",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1180G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Dawn Mahala, LCSW, LCAS-A
• Charles Mahon, DPT
• Patricia Lane Maier, PH.D.
• Kathleen L Mallet, LPC
• Kimberly Lynn Marchisin
• Alexis N Marsh, PSYD
• Gerald R Martin, MD
• Susan Elizabeth Martin, LCAS
• Marlene Marton, M.S. CCC SLP
• Gail Masterson, PHD

• Clinical Social Worker in Brevard, NC
• Providers in Brevard, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.