Individual provider Active NPI

Marsha J Engle, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1801286687
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008846 Issued in VA
Practice address
923 First Colonial Rd Ste 1820
Virginia Beach, VA 23454-3182
Phone
(757) 918-7860
Fax
(757) 797-3647
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008846 VA Primary

Addresses

Primary practice location

923 First Colonial Rd Ste 1820
Virginia Beach, VA 23454-3182

Mailing address

2677 Einstein Dr
Virginia Beach, VA 23456-8168
Phone (757) 880-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026002495 VA Practitioner - Clinical Social Worker 5799094173 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

923 1St Colonial Rd
Suite 1820
Virginia Beach, VA 23454-3182
Phone (757) 918-7860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1801286687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 EINSTEIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234568168",
            "telephone_number": "757-880-8709",
            "fax_number": "757-797-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 FIRST COLONIAL RD STE 1820",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543182",
            "telephone_number": "757-918-7860",
            "fax_number": "757-797-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "MARSHA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.