Active NPI
Latishia Nycole Marshall
- Social Worker
- Chicago, IL
National Provider Identifier
1730010109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.118318
- Practice address
- 5680 S Archer Ave
Chicago, IL 60638-1659 - Phone
- (708) 304-3010
- NPI assigned
- May 26, 2026
- 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 | 150.118318 | IL | Primary |
Addresses
Primary practice location
5680 S Archer Ave
Chicago, IL 60638-1659
Mailing address
PO Box 388556
Chicago, IL 60638-8556
Phone (708) 304-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.118318 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1730010109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388556",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606388556",
"telephone_number": "708-304-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5680 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606381659",
"telephone_number": "708-304-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "LATISHIA",
"middle_name": "NYCOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.118318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.