Active NPI
Eureka Yvette Marshall, LSW
- Social Worker
- Shaker HTS, OH
National Provider Identifier
1629367842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0701299
- Practice address
- 22001 Fairmount Blvd
Shaker HTS, OH 44118-4819 - Phone
- (216) 320-6448
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0701299 | OH | Primary |
Addresses
Primary practice location
22001 Fairmount Blvd
Shaker HTS, OH 44118-4819
Mailing address
11318 Avon Ave
Cleveland, OH 44105-4302
Phone (216) 466-4985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0701299 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1629367842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11318 AVON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441054302",
"telephone_number": "216-466-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22001 FAIRMOUNT BLVD",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441184819",
"telephone_number": "216-320-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "EUREKA",
"middle_name": "YVETTE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0701299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.