Individual provider Active NPI

Marsheila J Tincher, LCSW

  • Clinical Social Worker
  • Camp Lejeune, NC
National Provider Identifier
1679613517
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3123 Issued in KY
Practice address
100 Brewster Blvd
Naval Hopsital
Camp Lejeune, NC 28547-2538
Phone
(910) 450-3905
Fax
(910) 450-4558
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4354 KY
Clinical Social Worker 1041C0700X 3123 KY Primary

Addresses

Primary practice location

100 Brewster Blvd
Naval Hopsital
Camp Lejeune, NC 28547-2538

Mailing address

100 Brewster Blvd
Naval Hopsital
Camp Lejeune, NC 28547-2538
Phone (910) 450-3905

Other identifiers 1

IdentifierTypeStateIssuer
30615058MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210326002021 KY Practitioner - Clinical Social Worker 2567879174 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4354KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems Ky LLC Clinical CurrentSince Mar 1, 2021 Accepting new patients
Trigg County Hospital, Inc Clinical CurrentSince Sep 1, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

3450 Oakton St
Ste 300
Skokie, IL 60076

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

1333 W Main St
Princeton, KY 42445
Phone (270) 365-3541

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1679613517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOPSITAL",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-3905",
            "fax_number": "910-450-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOPSITAL",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-3905",
            "fax_number": "910-450-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINCHER",
        "first_name": "MARSHEILA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "4354",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.