Active NPI
Marsha G Rose, MSW LCSW
- Social Worker
- Kingsport, TN
National Provider Identifier
1689778672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW4305
- Practice address
- 2001 Stonebrook Place
Kingsport, TN 37660 - Phone
- (423) 224-1000
- Fax
- (423) 224-1023
- NPI assigned
- Sep 11, 2006
- 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 | LCSW4305 | TN | Primary |
Addresses
Primary practice location
2001 Stonebrook Place
Kingsport, TN 37660
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3920247 | Other | GRP MEDICARE TN | |
| 3920247 | Other | TN MEDICAID CROSSO GROUP | |
| 3927531 | Other | MEDICARE TN | |
| 334969 | Other | VALUE OPTIONS GROUP | |
| 4095639 | Other | MAGELLAN SUMMIT | |
| 183856 | Other | ANTHEM PROF TRIGON | |
| 3927531 | Other | TN MEDICAID CROSSO | |
| 183856 | Other | ANTHEM PREF TRIGON | |
| 2224731 | Other | FIRST HEALTH | |
| 4095639 | Other | MAGELLAN NAVIGATOR | |
| 4095639 | Other | MAGELLAN PINNACLE |
Other names 1
- Marsha Joyner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2020 Meadowview Pkwy
Suite 200
Kingsport, TN 37660-7388
Phone (423) 578-7878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW4305 | TN | MD | Social Worker |
| 4305 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Again Counseling and Court Mediation, LLC | Current | Accepting new patients |
Locations
2005 Venture Park
Kingsport, TN 37660
Phone (423) 578-7208
2020 Meadowview Pkwy
Ste 200
Kingsport, TN 37660
Phone (423) 578-7878
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Kingsport, TN
- NPI 1619110319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689778672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 STONEBROOK PLACE",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-224-1000",
"fax_number": "423-224-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MARSHA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LCSW4305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP MEDICARE TN",
"identifier": "3920247",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAID CROSSO GROUP",
"identifier": "3920247",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TN",
"identifier": "3927531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GROUP",
"identifier": "334969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "4095639",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "183856",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAID CROSSO",
"identifier": "3927531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "183856",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2224731",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "4095639",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "4095639",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARSHA",
"last_name": "JOYNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.