Provider Demographics
NPI:1306163274
Name:ALDERMAN AND MARSHALL INC.
Entity type:Organization
Organization Name:ALDERMAN AND MARSHALL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-260-1357
Mailing Address - Street 1:5959 MISSION GORGE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4019
Mailing Address - Country:US
Mailing Address - Phone:619-260-1357
Mailing Address - Fax:619-238-1460
Practice Address - Street 1:5959 MISSION GORGE RD STE 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-4019
Practice Address - Country:US
Practice Address - Phone:619-260-1357
Practice Address - Fax:619-238-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS157431041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3692941Medicaid
CA1205878212OtherNPI