Marilyn Marie Gentner, LICSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5008180 Issued in DC

Practice address

1012 14TH St NW Ste 810
Washington, DC 20005-3403

Phone

(202) 654-5155

Fax

(202) 654-0898

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marilyn Marie Beardslee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588061899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW STE 810",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053403",
            "telephone_number": "202-654-5155",
            "fax_number": "202-654-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW STE 810",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053403",
            "telephone_number": "202-654-5155",
            "fax_number": "202-654-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Keystone Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114039",
            "country_code": "US",
            "telephone_number": "517-827-5110",
            "fax_number": "517-394-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTNER",
        "first_name": "MARILYN",
        "middle_name": "MARIE",
        "credential": "LICSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC5008180",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "BEARDSLEE",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Matthew Gentile
• Kim Gentin, PSY.D.
• Gentle Hands Home Assistance LLC
• Gentle Movements Inc
• Roy A. Gentle
• Julian Wesley Gentry
• Owen Steven Gentry, LICSW
• Shari Lynn Gentry, MD
• Geny Pulse Care LLC
• Geo Health Services Inc

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.