Carolyn W. Marshall, L.C.S.W., ED. S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002150 Issued in GA

Practice address

520 Blue Cedar CT
Riverdale, GA 30274-4553

Phone

(404) 798-3077

NPI assigned

Aug 27, 2010

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

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1598071565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BLUE CEDAR CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744553",
            "telephone_number": "404-798-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BLUE CEDAR CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744553",
            "telephone_number": "404-798-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CAROLYN",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., ED. S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002150",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balu S Mani, MD
• Saptak Piyush Mankad, MD
• Dwight Hannibal Manley, RBT
• Tristan Marsh, LMSW
• Alexis R Marshall
• Megan Marshall, MD
• David Michael Martin, MD
• Jacquelyn Hairston Martin, C-FNP
• Kandathil M. Mathew, M.D.
• Lauren Ashley Mattox, PMHNP

• Clinical Social Worker in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.