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Robert Marshall , LMSW

Social Worker - Clinical β€’ Port Huron, MI

Active NPI 1013498625 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3111 Electric Ave
Port Huron, MI 480608127

Call 8109858900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3111 Electric Ave

Port Huron, MI 480608127

Telephone 8109858900
Organization at the Same NPPES Address or Phone
Genoa Healthcare Llc Facility NPI 1497791313

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bingham Farms, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: St Clair County Community Mental Health Authority. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Robert Marshall has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Robert Marshall as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Port Huron and Michigan

197 active clinicians are listed under Social Worker - Clinical with a practice address in Port Huron, MI (17,662 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

7.1% of these 197 clinicians have the CMS telehealth indicator.

25.9% of these 197 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-19
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MI 6801120646

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20250826004563

Enrollment State Jurisdiction

MI

PECOS Control ID

7517467137

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St Clair County Community Mental Health Authority

3111 Electric Ave, Port Huron, MI 480608127

Phone: 8109858900

Secondary Practice Locations

32100 Telegraph Rd Ste 205

Bingham Farms, MI 480252454

Phone: 2487124266

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Kristen Azzinaro

Social Worker - Clinical

NPI 1013671056
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Deborah Kokoszka , LMSW

Social Worker - Clinical

NPI 1023320413

Licensed Master Social Worker

Dr. Brandon Moore , MD

Psychiatry & Neurology - Psychiatry

NPI 1083902977

Doctor of Medicine (M.D.)

Dr. Mohammad Saeed , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1104939719

Doctor of Medicine (M.D.)

Carol Wiediger , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033285242

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated August 19, 2025

Recorded as ROBERT MARSHALL, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2025

Social Worker (license number reported to NPPES: MI 6801120646)

πŸ“
Updated Practice Location October 20, 2022

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸ“
Updated Business Mailing Address October 20, 2022

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸ‘€
Provider Name / Credentials Updated October 20, 2022

Recorded as ROBERT MARSHALL, LLMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Social Worker

βœ…
NPI Profile Active August 22, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

πŸ“
Business Mailing Address (Initial Record) August 22, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2018

Recorded as ROBERT MARSHALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2018

Technician/Technologist

🟒
Initial NPI Registration & Enumeration August 22, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013498625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2018
Last Update: August 19, 2025
Sole Proprietor: No

Other Social Worker - Clinicals in Port Huron

All Social Worker - Clinicals in Port Huron

Mailing Address

3111 Electric Ave

Port Huron, MI 480608127

Phone: 8109858900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.