Individual provider Active NPI

Linda Mahrie Marshall, M.S.W.

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1912003575
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004777 Issued in WA
Practice address
4001 Main St
Vancouver, WA 98663-1887
Phone
(360) 695-1115
Fax
(360) 859-4689
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 LW00004777 WA Primary

Addresses

Primary practice location

4001 Main St
Vancouver, WA 98663-1887

Mailing address

1740 NE Dallas St
Camas, WA 98607-1217
Phone (360) 695-1115

Other practice location 1

400 E Evergreen Blvd Ste 104
Vancouver, WA 98660-3263
Phone (360) 695-1115

Other names 1

  • Miss Linda Mahrie Brownlee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070110000325 WA Practitioner - Clinical Social Worker 9537169883 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1912003575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NE DALLAS ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071217",
            "telephone_number": "360-695-1115",
            "fax_number": "360-859-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631887",
            "telephone_number": "360-695-1115",
            "fax_number": "360-859-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Evergreen Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603263",
            "country_code": "US",
            "telephone_number": "360-695-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LINDA",
        "middle_name": "MAHRIE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BROWNLEE",
            "middle_name": "MAHRIE",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.