Mrs Jennifer Kristine Marshall, LCSW, CSAC is a
Social Worker - Clinical based in Falls Church, Virginia. Mrs Jennifer Kristine Marshall is licensed to practice in Virginia (license number 0904007310) and her current practice location is
3300 Gallows Road, Falls Church, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 776-7765.
NPI number for Mrs Jennifer Kristine Marshall is 1164611448 and her current mailing address is 3130 Fairview Park Drive, Suite 300, Falls Church, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164611448.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Kristine Marshall |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3300 Gallows Road, Falls Church, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164611448
- Provider Enumeration Date: 10/23/2007
- Last Update Date: 07/03/2013
Medical Identifiers
Medical identifiers for Mrs Jennifer Kristine Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164611448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1180 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P003927 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904007310 (Virginia) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102381 (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Kristine Marshall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jennifer Kristine Marshall, LCSW, CSAC
3130 Fairview Park Drive, Suite 300,
Falls Church, VA 22042
Ph: (703) 914-2942 | Mrs Jennifer Kristine Marshall, LCSW, CSAC
3300 Gallows Road,
Falls Church, VA 22042
Ph: (703) 776-7765 |
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