Active NPI
Sara Marshall, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1750087847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010190A
- Practice address
- 2506 Willowbrook Pkwy Ste 111
Indianapolis, IN 46205-1542 - Phone
- (317) 574-1254
- Fax
- (317) 674-0060
- NPI assigned
- Feb 1, 2023
- Last updated
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34010190A | IN | Primary |
Addresses
Primary practice location
2506 Willowbrook Pkwy Ste 111
Indianapolis, IN 46205-1542
Mailing address
1531 S Kitley Ave
Indianapolis, IN 46203-2634
Phone (317) 614-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010190A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1750087847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 S KITLEY AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462032634",
"telephone_number": "317-614-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 WILLOWBROOK PKWY STE 111",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051542",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010190A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.