George Marshall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1636 Issued in KY

Practice address

1210 4TH St
Lewisport, KY 42351-2526

Phone

(270) 295-6452

Fax

(270) 295-6450

NPI assigned

Jun 5, 2006

Last updated

Mar 24, 2016By 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 4

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Behavioral Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1134663925
  Medicare reassignment
• George Marshall Counseling, PLLC

  • Clinical Social Worker
  • Lewisport, KY
  • NPI 1093178048
  Authorized official Same address or phone
• Communicare Inc

  • Community/Behavioral Health Agency
  • Springfield, KY
  • NPI 1083751424
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Bardstown, KY
  • NPI 1679610117
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1720027006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 4TH ST",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423512526",
            "telephone_number": "270-295-6452",
            "fax_number": "270-295-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 4TH ST",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423512526",
            "telephone_number": "270-295-6452",
            "fax_number": "270-295-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11574926",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "263895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000175357",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollimere Health PLLC
• Michelle Kratzer, P.T.A.
• Lewisport Drugs Inc
• Lewisport Rest Home I LLC
• Lynch DME LLC (United Home Healthcare)
• McKena Tichenor, LLC
• Lelah Ann Monar
• Monica Montgomery I
• Owensboro Medical Practice, PLLC (The Hancock Clinic)
• Holly Elizabeth Pate, APRN, PMHNP-BC

• Clinical Social Worker in Lewisport, KY
• Providers in Lewisport, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.