Provider Demographics
NPI:1699542837
Name:MARSHALL, ELLEN KATHERINE (LMSW)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:KATHERINE
Last Name:MARSHALL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28900 POPLAR GROVE DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3307
Mailing Address - Country:US
Mailing Address - Phone:302-381-5265
Mailing Address - Fax:
Practice Address - Street 1:19606 COASTAL HWY UNIT 106
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-8576
Practice Address - Country:US
Practice Address - Phone:302-381-5265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
DEQ100126831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor