Brittany S Marshall

Individual provider Active NPI Clinical Social Worker · Durham, NC

NPI 1477026573 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1477026573
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P013049 (NC)
Practice address
5842 Fayetteville Rd Ste 101
Durham, NC 27713-6294
Phone
(919) 544-3907
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P013049NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Service LLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013049 NC Yes

Addresses

Primary practice location

5842 Fayetteville Rd Ste 101
Durham, NC 27713-6294

Mailing address

717 Strathwood Way
Rolesville, NC 27571-9012
Phone (919) 395-3991

Other providers in Durham, NC

All providers in Durham, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.