Individual provider · Type 1 NPI

Keith Avery Marshall

Clinical Social Worker · San Diego, CA

NPI number 1972471233 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Call (619) 398-0355 Map

Fax (480) 270-0064

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1972471233

Keith Avery Marshall's National Provider Identifier is 1972471233, issued on Oct 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Nov 3, 2025.