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Deactivated NPI 1538689575 Deactivated / Inactive NPI Male Practitioner

Brent Paul Marshall , LMSW

Social Worker • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brent Marshall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2017
NPI Deactivation Date September 09, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Brent Marshall, LMSW was a registered Social Worker practicing in Phoenix, AZ. Throughout an active medical career spanning 4 years, Brent Marshall provided care at the practice location at 2400 N CENTRAL AVE STE 101 until profile deactivation on 2021-09-09.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2400 N Central Ave Ste 101

Phoenix, AZ 850041300

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
555 Specialists

Practicing in Phoenix, AZ (1597 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
144 11 $175.00 $103.00

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License AZ LMSW-15819

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Adrian Russell , LASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1376063149
Michael Latino , LASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1407200785
Africa Ogden , LAC

Counselor - Professional

NPI 1518494418

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated September 09, 2021

Record deactivated on September 09, 2021

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Updated Practice Location July 30, 2020

Registered at 17505 N 79TH AVE STE 203, GLENDALE, AZ 853088726 (Tel: 6238505400)

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Updated Business Mailing Address July 30, 2020

Registered at 17505 N 79TH AVE STE 203, GLENDALE, AZ 853088726 (Tel: 6238505400)

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Provider Name / Credentials Updated June 28, 2020

Recorded as BRENT MARSHALL, LCSW

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Updated Practice Location January 23, 2019

Registered at 17505 N 79TH AVE STE 111D, GLENDALE, AZ 85308 (Tel: 6238505400)

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Updated Business Mailing Address January 23, 2019

Registered at 17505 N 79TH AVE STE 111D, GLENDALE, AZ 853088724 (Tel: 6238505400)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2019

Social Worker (License #LCSW-17245 in AZ)

NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2017

Registered at 2400 N CENTRAL AVE STE 101, PHOENIX, AZ 850041300 (Tel: (602) 550-7258)

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Updated Business Mailing Address June 21, 2017

Registered at 2400 N CENTRAL AVE STE 101, PHOENIX, AZ 850041300 (Tel: 6025507258)

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Provider Name / Credentials Updated June 21, 2017

Recorded as BRENT MARSHALL, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Social Worker (License #LMSW-15819 in AZ)

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Initial NPI Registration & Enumeration June 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538689575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2017
Last Update: June 21, 2017
Deactivation Date: September 09, 2021

Mailing Address

2400 N Central Ave Ste 101

Phoenix, AZ 850041300

Phone: 6025507258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.