Individual provider Active NPI

Kelly A Marquis, LCSW

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1902410152
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008223 Issued in VA
Practice address
172 Linden Dr Ste 111
Winchester, VA 22601-2892
Phone
(540) 536-4881
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 0904008223 VA Primary

Addresses

Primary practice location

172 Linden Dr Ste 111
Winchester, VA 22601-2892

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kmarquis724396@soc.inova.org
Direct Messaging Address kmarquis724396@soc.inova.org
Direct Messaging Address kmarquis724396@soc.inova.org

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
I20200929000695 VA Practitioner - Clinical Social Worker 6901225721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians

Practice addresses (Care Compare)

172 Linden Dr
Suite 111
Winchester, VA 22601-2892
Phone (540) 536-4881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital Inc. CurrentSince Sep 22, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Winchester Medical Center CurrentSince Sep 22, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Sep 22, 2020 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Clinical CurrentSince Sep 22, 2020 Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

172 Linden Dr
Ste 111
Winchester, VA 22601
Phone (540) 535-0269

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Ste 107
Woodstock, VA 22664
Phone (540) 459-1262

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: kmarquis724396@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1902410152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR STE 111",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-536-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarquis724396@soc.inova.org",
            "affiliation": "N",
            "address_1": "172 Linden Dr Ste 111",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarquis724396@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarquis724396@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St Ste 107",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.