Individual provider Active NPI

Elisabeth M Marsh, MSW, APSW, SAC-IT

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1528206455
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127645-121 Issued in WI
Practice address
1568 N Warren Ave
Milwaukee, WI 53202-2265
Phone
(610) 462-7262
NPI assigned
Jan 30, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15757-130 WI
Clinical Social Worker 1041C0700X 127645-121 WI Primary

Addresses

Primary practice location

1568 N Warren Ave
Milwaukee, WI 53202-2265

Mailing address

1568 N Warren Ave
Milwaukee, WI 53202-2265
Phone (610) 462-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15757-130WIMDAddiction (Substance Use Disorder) Counselor
127645-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McClendon Center PastSince Jul 1, 2011 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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1528206455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 N WARREN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022265",
            "telephone_number": "610-462-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 N WARREN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022265",
            "telephone_number": "610-462-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ELISABETH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, APSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15757-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "127645-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.