Marshall Clinical Social Work

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARSHALL CLINICAL SOCIAL WORK

Practice address

12335 Cherry Branch Dr
Clarksburg, MD 20871-4402

Phone

(301) 910-7696

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Lori Marshall, LCSW-CNPI 1568076032

Title

Owner

Phone

(301) 910-7696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Marshall, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
  • NPI 1568076032

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1811686371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 CHERRY BRANCH DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714402",
            "telephone_number": "301-910-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 CHERRY BRANCH DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714402",
            "telephone_number": "301-910-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10605 Concord St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952500",
            "country_code": "US",
            "telephone_number": "240-801-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL CLINICAL SOCIAL WORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-910-7696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Liu, D.D.S.
• Kenneth Lou Jr., PT, DPT
• Rebecca Lou, PT, DPT
• Nagender Rao Madavaram
• Radhika Jayaraj Manikumar, M.D.
• Maxine Marshall, LCSW-C
• Maryland CVS Pharmacy LLC
• Shelah Maul
• James Mazjanis, CRNA
• Valentine E Mbogne

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.