Provider Demographics
NPI:1164713012
Name:MARSHALL, THOMAS JOSEPH (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-9776
Mailing Address - Country:US
Mailing Address - Phone:413-229-3279
Mailing Address - Fax:
Practice Address - Street 1:24 MAIN ST
Practice Address - Street 2:2
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546-9499
Practice Address - Country:US
Practice Address - Phone:860-334-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR035159-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical