Individual provider Active NPI

Lindsey Marshall

  • Social Worker
  • Bethel, CT
National Provider Identifier
1760270185
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111131-01 Issued in NY
Practice address
505 Copper Square Dr
Bethel, CT 06801-3240
Phone
(914) 355-8963
NPI assigned
Apr 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111131-01 NY Primary

Addresses

Primary practice location

505 Copper Square Dr
Bethel, CT 06801-3240

Mailing address

185 Country Ridge Dr
Rye Brook, NY 10573-1001
Phone (914) 355-8963

Other practice location 1

185 Country Ridge Dr
Rye Brook, NY 10573-1001
Phone (914) 355-8963

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

LicenseStateTypeSpecialty
111131-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1760270185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 COUNTRY RIDGE DR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731001",
            "telephone_number": "914-355-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COPPER SQUARE DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013240",
            "telephone_number": "914-355-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Country Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Rye Brook",
            "state": "NY",
            "postal_code": "105731001",
            "country_code": "US",
            "telephone_number": "914-355-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LINDSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111131-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.