Kenneth Keala Marshall, MSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60804492 Issued in WA

Practice address

1421 34TH Ave Ste 205
Seattle, WA 98122-3634

Phone

(206) 485-3557

Fax

(855) 440-1447

NPI assigned

Jan 25, 2016

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Growth & Wellness Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1710494588
  NPD Authorized official

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1831556653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 34TH AVE STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223634",
            "telephone_number": "206-485-3557",
            "fax_number": "855-440-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 34TH AVE STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223634",
            "telephone_number": "206-485-3557",
            "fax_number": "855-440-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 16th Ave E",
            "address_2": "Sound Mental Health - Capitol Hill North",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125212",
            "country_code": "US",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5306 Ballard Ave NW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98107",
            "country_code": "US",
            "telephone_number": "206-485-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KENNETH",
        "middle_name": "KEALA",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60804492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Marshall, CDP
• Jenifer Lynn Marshall, MS, CDP
• Karol Anderson Marshall, PHD
• Karri Eileen Marshall, LMP
• Kathleen Marshall, LMT
• Kim Marshall
• Kristen Lisa Marshall, M.S. CCC-SLP
• Lana K Marshall
• Laurel R Marshall, MA
• Lorna A. Marshall, M.D.

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.