Darryl Marshall Sr., LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17942 Issued in MD

Practice address

9332 Annapolis Rd Ste 304
Lanham, MD 20706-3170

Phone

(240) 417-9283

NPI assigned

Oct 11, 2012

Last updated

Oct 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petra Therapeutic Group LLC

  dba Petra Therapeutic

  • Clinical Social Worker
  • Lanham, MD
  • NPI 1447636386
  Authorized official Same address or phone

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1992057137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 ANNAPOLIS RD STE 304",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063168",
            "telephone_number": "240-417-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 ANNAPOLIS RD STE 304",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063170",
            "telephone_number": "240-417-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Marafie
• Esmon Mitchelle Marcel
• Autumn Marchbanks
• Claire Vaughn Marcus, M.S., OTR/L
• Josephus Marc Mari
• Kathy L Marshall, D.D.S.
• Raymond Collins Marshall, D.D.S.
• April Victoria Martin, PHD
• Langmia Martin Sr.
• Ulysses Samuel Martin Jr., DDS

• Social Worker in Lanham, MD
• Providers in Lanham, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.