Individual provider Active NPI

Kimberly Kay Marsh, LMSW

  • Social Worker
  • Decatur, AL
National Provider Identifier
1699318543
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4883G Issued in AL
Practice address
1608 4TH Ave SE
Decatur, AL 35601-4904
Phone
(256) 340-9233
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4883G AL Primary

Addresses

Primary practice location

1608 4TH Ave SE
Decatur, AL 35601-4904

Mailing address

1608 4TH Ave SE
Decatur, AL 35601-4904
Phone (205) 240-7885

Other identifiers 1

IdentifierTypeStateIssuer
4883GOtherALLMSW

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kmarslmsw@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20221205000558 AL Practitioner - Clinical Social Worker 4385013945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Support Services, LLCGroup PAC ID 8224133061, 2 clinicians

Practice addresses (Care Compare)

213 Main Ave NW
Cullman, AL 35055-2813
Phone (205) 237-2376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4883GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services, LLC CurrentSince Oct 18, 2022 Accepting new patients
Family Support Services LLC PastSince Oct 27, 2019 Accepting new patients

Locations

1608 4th Ave SE
Decatur, AL 35601
Phone (256) 340-9233

Organizations & group practices 2

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1699318543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "205-240-7885",
            "fax_number": "256-340-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "256-340-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4883G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "4883G",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kmarslmsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1608 4th Ave SE",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356014904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.