Sean Travis Marshall, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7150 Issued in KY

Practice address

415 Gibson LN
Richmond, KY 40475-2577

Phone

(859) 623-9367

Fax

(859) 623-9389

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky River Foothills Development Council, Inc.Group PAC ID 6507861945, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
• Direct secure messaging: travis.marshall.p1@direct.foothills.nextgenshare.com

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.

• Kentucky River Foothills Development Council, Inc.

  dba Foothills Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Clay City, KY
  • NPI 1366713000
  Medicare reassignment Care Compare group NPD
• Kentucky River Foothills Development Council, Inc.

  dba Foothills Behavioral Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1346874054
  NPD
• Family Practice Clinic of Booneville, Inc.

  • Rural Health Clinic/Center
  • Booneville, KY
  • NPI 1326152109
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1710347752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-623-9367",
            "fax_number": "859-623-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-623-9367",
            "fax_number": "859-623-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SEAN",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Marcum
• Keaira McKenzi-Tiheya Marcum, DR
• Mark O. Cummins, DMD, PLLC
• Robyn Justice Marques, OTR/L
• Marshall J Ney PSC
• Michelle Martel, PH.D.
• Crystal Leann Martin, RN, CLC
• Natalie Martin, M.S., CCC-SLP
• Katrina Martir, M.A.
• Sarah McConnell Mashburn, OTRL, CPAM

• Social Worker in Richmond, KY
• Providers in Richmond, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.

Verify at the official NPI Registry.