Healthcare Provider Details

I. General information

NPI: 1699542837
Provider Name (Legal Business Name): ELLEN KATHERINE MARSHALL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17527 NASSAU COMMONS BLVD STE 101
LEWES DE
19958-6283
US

IV. Provider business mailing address

28900 POPLAR GROVE DR
MILTON DE
19968-3307
US

V. Phone/Fax

Practice location:
  • Phone: 302-260-9439
  • Fax:
Mailing address:
  • Phone: 302-381-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberB2-0010498
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ10012683
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: