Active NPI
Deon Marshall
- Social Worker
- Lusby, MD
National Provider Identifier
1508464645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28276
- Practice address
- 431 Lessin Dr
Lusby, MD 20657-4102 - Phone
- (202) 304-5723
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28276 | MD | Primary |
Addresses
Primary practice location
431 Lessin Dr
Lusby, MD 20657-4102
Mailing address
PO Box 172
Lusby, MD 20657-0172
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28276 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1508464645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172",
"city": "LUSBY",
"state": "MD",
"postal_code": "206570172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 LESSIN DR",
"city": "LUSBY",
"state": "MD",
"postal_code": "206574102",
"telephone_number": "202-304-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "28276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lusby, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.