Active NPI
Marquincy Cottrell
- Social Worker
- Owens Cross Roads, AL
National Provider Identifier
1912744632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0903003540
- Practice address
- 7587 Crestridge Dr
Owens Cross Roads, AL 35763-8855 - Phone
- (334) 507-6486
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903003540 | VA | Primary |
Addresses
Primary practice location
7587 Crestridge Dr
Owens Cross Roads, AL 35763-8855
Mailing address
7587 Crestridge Dr
Owens Cross Roads, AL 35763-8855
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0903003540 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1912744632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7587 CRESTRIDGE DR",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357638855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7587 CRESTRIDGE DR",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357638855",
"telephone_number": "334-507-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "MARQUINCY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903003540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owens Cross Roads, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.