DALE MARSHALL (NPI# 1215382247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215382247 |
| Entity Type | Individual |
| Full Name | DALE MARSHALL |
| Credential | MA, CAC I, MAC |
| Practice Address |
1627 Kenilworth Ave Ne Washington DC 20019-2010 |
| Mailing Address |
9220 Edwards Way Apt 2232 Adelphi MD 20783-3415 |
| Practice Telephone | 2028032340 |
| Practice Fax Number | 2028032350 |
| Mailing Telephone | 2022367756 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC I 1145 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 082390200 | 05 |
| Street Address |
1627 KENILWORTH AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008792 | Mejebi T Mayor | Obstetrics & Gynecology | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2006-07-04 |
| 1073025458 | Abosede O Sobo | Nurse Practitioner | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2017-10-25 |
| 1699126268 | Ashli Cumberbatch | Dentist | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2016-06-24 |
| 1154708204 | Erin Latrice Palmer | Registered Nurse | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2015-04-28 |
| 1427331461 | Elaine Ellis Center of Health, Inc. | Clinic/Center | 1627 Kenilworth Ave Ne, Washington, DC 20019-2010 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615913 | Anita Gail Graves-jackson | Counselor | 2041 Martin Luther King Jr Ave Se Fl 3, Washington, DC 20020-7024 | 2020-09-24 |
| 1811503477 | Darryl Lamont Anderson | Counselor | 124 15th St Se, Washington, DC 20003-1519 | 2020-09-18 |
| 1215543061 | The Dorm LLC | Counselor | 1818 N St Nw, Washington, DC 20036-2406 | 2020-09-17 |
| 1205444601 | Carl Nathaniel Boone | Counselor | 4414 3rd St Se # Eb, Washington, DC 20032-3229 | 2020-07-21 |
| 1154943363 | Brian Wesley Matthews | Counselor | 1400 Florida Ave Ne Apt 911, Washington, DC 20002-5028 | 2020-05-11 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1609403849 | Shajava Shevougne Miller | Counselor | 425 2nd St Nw Ste 2north, Washington, DC 20001-2003 | 2020-03-26 |
| 1194351304 | Lola Johnson | Counselor | 920 Bellevue St Se # Wdc, Washington, DC 20032-6030 | 2020-03-19 |
| 1437783396 | Empowerment Justice Center | Counselor | 4900 10th St Ne, Washington, DC 20017-3928 | 2020-02-28 |
| 1588215982 | Sara Osborne | Counselor | 164 Wykeham Road, Washington, CT 06793 | 2019-09-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
Please comment or provide details below to improve the information on DALE MARSHALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.