Katherine Margaret Marshall, MSW, LCSW-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P015376 Issued in NC

Practice address

1918 Randolph Rd Ste 700
Charlotte, NC 28207-1167

Phone

(704) 900-2904

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1992395099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 ST IVES PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113855",
            "telephone_number": "704-726-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071167",
            "telephone_number": "704-900-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATHERINE",
        "middle_name": "MARGARET",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P015376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd Ste 700",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edwin Kim Marshall Jr., PA
• Faye Marshall
• Hope Lee Marshall, LCAS, CCJP
• Javan Marshall
• Jeffrey Tonkins Marshall, MA
• Kathryn Marshall, MS, SSP
• Kelli Esther Marshall
• Kina L Marshall, RECREATION THERAPIST
• Makenzie Marshall, DNP, FNP-C
• Mary Jane Marshall, DDS

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.