Marcus Earl Woodson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2018022850 Issued in MO

Practice address

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Phone

(636) 947-5372

Fax

(636) 947-5602

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1689139842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7874 BENTLEY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631431602",
            "telephone_number": "314-532-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-947-5372",
            "fax_number": "636-947-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "MARCUS",
        "middle_name": "EARL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018022850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "2018022850",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Wolynski, NP
• Daniel Wolz
• Desiree Wood
• Michele A Wood, D.O.
• Ashlie Woodruff
• Ardys Woodward, LCSW
• Jeremy Woodward
• Victoria Louise Woodworth
• Timothy Woody, LPC
• Sharon Wooten, LPN, LNHA

• Social Worker in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.