Derrick Sentelle Marshall, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096641 Issued in MI

Practice address

455 E Eisenhower Pkwy Ste 300
PMB# 108
Ann Arbor, MI 48108-3324

Phone

(619) 200-8236

NPI assigned

May 22, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1801208061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 W HEREFORD DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971875",
            "telephone_number": "619-200-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "address_2": "PMB# 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "619-200-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DERRICK",
        "middle_name": "SENTELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcela Marsh, PA-C
• Amanda Kirsten Marshall, RN
• Candice Delores Marshall, LLMSW
• Christianne Elizabeth Marshall, PA-C
• David Francis Marshall, PH.D.
• Giselle Elizabeth Marshall, M.D.
• Jennifer Diane Marshall, LMSW
• Jessie K Marshall, M.D.
• Margarett Marshall
• Steven V Marshall, CRNA

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.