Marshall Jackson Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002365 Issued in MO

Legal business name

MARSHALL JACKSON GROUP LLC

Practice address

1606 S Big Bend Blvd
Saint Louis, MO 63117-2208

Phone

(314) 645-1076

Fax

(314) 645-5135

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Michele Marshall-Moore, MSW

Title

Owner

Phone

(314) 645-1075

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Elizabeth Early, L.P.C.

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1043532245
  NPD (past)
• Michele Marshall, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1104889872
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1659670735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-645-1076",
            "fax_number": "314-645-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-645-1076",
            "fax_number": "314-645-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL JACKSON GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-MOORE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-645-1075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L. Marsh, M.D.
• Jennifer Kram Marsh, PNP
• Kari Beth Marsh
• Nicole Lynn Marsh, MSW, LCSW, RPT
• Marsha Karen Moore Andreoff
• Anise Julia Marshall
• Bess A Marshall, MD
• Carla Marshall, RN
• Devon Marshall, D.C.
• Josie Marshall

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.