Shawnmari Marshall-Kaiser

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1600109 Issued in OH

Practice address

6784 Loop Rd Ste 207
Centerville, OH 45459-2161

Phone

(949) 216-0491

NPI assigned

Aug 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Keep Moving Forward Counseling and Consulting LLCGroup PAC ID 1658610936, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keep Moving Forward Counseling & Consulting LLC

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1174925762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1801341730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LYNN RAE CIR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582242",
            "telephone_number": "949-216-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 LOOP RD STE 207",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592161",
            "telephone_number": "949-216-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-KAISER",
        "first_name": "SHAWNMARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Jeanne Marcotte, M.A., CCC-A
• Melissa J Markham, LISW
• Beatrice Marks
• Maria Luisa Marques de Sousa
• Mijanou D Marretta-Lewis, FNP-C
• William Fish Marsteller III, D.C.
• Abigael Martin
• Ashley Martin
• Lindsay D Marton, MD
• Jennifer Lynn Massman, RD

• Clinical Social Worker in Centerville, OH
• Providers in Centerville, 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 21, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.