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DR. CHARISSE EUDELLA MARSHALL DSW
NPI 1124791017
Social Worker - Clinical in New York, NY

Active since July 27, 2021PECOS Enrolled
25 W 132ND ST APT 10M, NEW YORK, NY 10037(917) 689-6795 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charisse Eudella Marshall Dsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARISSE EUDELLA MARSHALL DSW (NPI 1124791017) is an individual clinical provider in New York, New York, licensed in New York (062663) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124791017
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. CHARISSE EUDELLA MARSHALLCredential: DSW
Location Address25 W 132ND ST APT 10MNew York, NY 10037-3205
Mailing Address25 W 132nd St Apt 10mNew York, NY 10037-3205 · (917) 689-6795
Phone(917) 689-6795
Sole ProprietorYes
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1124791017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 062663
Definition
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.
25 W 132ND ST APT 10M, New York, NY 10037
Open in Google Maps ↗

Other Identifiers 1

Other824142206NY · New York State Drivers License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charisse Eudella Marshall Dsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charisse Marshall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Whitman Ingersoll Farragut Health Center
8.4 mi
Federally Qualified Health Center (FQHC)
297 MYRTLE AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1619366978 (718) 596-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charisse Marshall's NPI number?

The NPI number for Charisse Marshall is 1124791017. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Charisse Marshall located?

Charisse Marshall practices at 25 W 132nd St Apt 10M, New York, NY 10037. The listed phone number is (917) 689-6795.

What is Charisse Marshall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charisse Marshall enrolled in Medicare?

Yes. Charisse Marshall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charisse Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charisse Marshall reassigns Medicare benefits to Whitman Ingersoll Farragut Health Center (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charisse Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charisse Marshall was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.