Candace O Marshall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007165A Issued in IN

Practice address

700 Martin LN
Evansville, IN 47715-4392

Phone

(812) 483-7606

NPI assigned

Jun 25, 2022

Last updated

Jun 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 8, 2024 through Apr 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1679205033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARTIN LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154392",
            "telephone_number": "812-483-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARTIN LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154392",
            "telephone_number": "812-483-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CANDACE",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.tolcounseling.com/",
            "affiliation": "Y",
            "endpointDescription": "contractor website",
            "affiliationName": "Lantz Counseling Consulting and More",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website tracking client inquiries",
            "address_1": "700 Martin Ln",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477154392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy R Marquis, P.A.
• R Anthony Marrese, MD
• Ciara Marsh
• Laura Marsh, NP-BC
• Amy Marshall, RD
• Gregory Marshall, FNP-C
• Eric Sebastian Marsili, D.C.
• Martha Ann Brandt, Inc
• Martin Family Practice PC
• Alisha Renee Martin, OTR/L

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.