Individual provider Active NPI

Kristina Mary Marsch, LSW

  • Social Worker
  • Butler, PA
National Provider Identifier
1831744895
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW136461 Issued in PA
Practice address
353 N Duffy Rd
Butler, PA 16001-1138
Phone
(878) 271-6020
Fax
(878) 271-6253
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW136461 PA Primary

Addresses

Primary practice location

353 N Duffy Rd
Butler, PA 16001-1138

Mailing address

3765 Old Butler Rd
New Castle, PA 16101-9069
Phone (602) 677-7587

Other names 1

  • Kristina Mary Johnston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW136461PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1831744895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 OLD BUTLER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161019069",
            "telephone_number": "602-677-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N DUFFY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011138",
            "telephone_number": "878-271-6020",
            "fax_number": "878-271-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSCH",
        "first_name": "KRISTINA",
        "middle_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "JOHNSTON",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.