Individual provider Active NPI

Lori Marshall, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1568076032
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25955 Issued in MD
Practice address
10605 Concord St Ste 100
Kensington, MD 20895-2500
Phone
(240) 801-7270
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25955 MD Primary

Addresses

Primary practice location

10605 Concord St Ste 100
Kensington, MD 20895-2500

Mailing address

12335 Cherry Branch Dr
Clarksburg, MD 20871-4402
Phone (301) 910-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001197 DC Practitioner - Clinical Social Worker 8628436953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Clarksburg, MD 20871
Phone (301) 910-7696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25955MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Clinical Social Work CurrentSince May 1, 2023 Accepting new patients
Olney Counseling Center LLC PastSince Jan 1, 2022 Accepting new patients

Locations

10605 Concord St
Ste 100
Kensington, MD 20895
Phone (301) 246-2227

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1568076032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 CHERRY BRANCH DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714402",
            "telephone_number": "301-910-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST STE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952500",
            "telephone_number": "240-801-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LORI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.