Jeanne Marshall, LCSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007066 Issued in NC

Practice address

110 Greenville Ave
Wilmington, NC 28403-3562

Phone

(860) 710-2507

Fax

(919) 654-9416

NPI assigned

Apr 18, 2007

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeanne Marshall PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1548049968
  NPD Authorized official
• Insight Wellness Services PC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1225972912
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1568688307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREENVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033562",
            "telephone_number": "860-710-2507",
            "fax_number": "919-654-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GREENVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033562",
            "telephone_number": "860-710-2507",
            "fax_number": "919-654-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N 3rd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284013474",
            "country_code": "US",
            "telephone_number": "901-251-2106",
            "fax_number": "910-251-7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000622",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003981",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "C007066",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Marsh, MS,OTR/L
• Holly Jordan Marsh, DDS
• Jeffrey K Marsh, FNP
• Alyssa Marshall-Savoree
• Brittany Marshall, LCSWA
• Joan Ball Marshall, MS
• Madison R Marshall, LCMHCA
• Mary Ruth Marshall, DDS
• Nataliah Marshall, MS, OTR/L
• Marshall, Winslett, Schaffer, DDS, PLLC (Marshall dental Excellence)

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.