Katelyn D Marshall, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203362 Issued in OH

Practice address

8904 Brookside Ave # Oh
West Chester, OH 45069-3139

Phone

(513) 644-1030

Fax

(513) 644-1030

NPI assigned

Mar 29, 2018

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Focus on Youth, Inc.

  • Community/Behavioral Health Agency
  • West Chester, OH
  • NPI 1093139305
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1740785856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 THE ALAMEDA",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444812",
            "telephone_number": "513-607-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 BROOKSIDE AVE # OH",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693139",
            "telephone_number": "513-644-1030",
            "fax_number": "513-644-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Business Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452413089",
            "country_code": "US",
            "telephone_number": "833-358-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATELYN",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010215A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257554",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1303227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marriage & Fam Matters Counseling and Education Services LLC (Marriage & Family Matters Counseling and Education Services, LLC)
• Peter A Marrocco, M.D.
• Krystal Marsh
• Carnitta Marshall, OTR/L
• Katelyn Marshall
• Katherine Martin
• Katie E Martin, PHARMD
• Mitchell Ryan Martin, DPT
• Hannah Marie Martindale, PT
• Steven Martindale, RN

• Clinical Social Worker in West Chester, OH
• Providers in West Chester, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.