Individual provider Active NPI

David Marshall, LICSW

  • Clinical Social Worker
  • Amherst, NH
National Provider Identifier
1619208022
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1699 Issued in NH
Practice address
9 Lyndeborough Rd
Amherst, NH 03031-3040
Phone
(603) 736-7420
NPI assigned
Jan 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 1699 NH Primary

Addresses

Primary practice location

9 Lyndeborough Rd
Amherst, NH 03031-3040

Mailing address

9 Lyndeborough Rd
Amherst, NH 03031-3040
Phone (603) 736-7420

Other practice location 1

14A Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 537-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20130129000432 NH Practitioner - Clinical Social Worker 6608020656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Derry Medical Center, PAGroup PAC ID 5294711768, 98 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300

9 Lyndeborough Rd
Amherst, NH 03031-3040
Phone (603) 736-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Client Centered Therapy PLLC CurrentSince Mar 15, 2024 Accepting new patients
Derry Medical Center, PA CurrentSince Sep 1, 2016 Accepting new patients

Locations

14 Tsienneto Rd
Bldg B
Derry, NH 03038

6 Tsienneto Rd
Ste 100
Derry, NH 03038

14A Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1380

6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308

Interoperability endpoints

  • Direct secure messaging: davemarshall@dmcnh.allscriptsdirect.net

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1619208022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LYNDEBOROUGH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313040",
            "telephone_number": "603-736-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LYNDEBOROUGH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313040",
            "telephone_number": "603-736-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14A Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381505",
            "country_code": "US",
            "telephone_number": "603-537-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

Verify at the official NPI Registry.