Corey Marshall
Social Worker, Clinical in Scottdale, GA. Individual provider (NPI-1).
NPI number1801477690
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1801477690
- Entity type
- Individual (NPI-1)
- Name
- Corey Marshall
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2021
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW009862 | GA | Yes |
| 101YM0800X | Counselor, Mental Health | CSW009862 | GA |
Practice location
610 Kentucky StScottdale, GA 30079-1124
Phone 770-696-6555
Mailing address
610 Kentucky StScottdale, GA 30079-1124
Phone 770-696-6555
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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