Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Avery Marshall

Individual provider Clinical Social Worker · NPI 1972471233

Keith Avery Marshall is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone: (619) 398-0355
Fax: (480) 270-0064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (CA)

Record details

NPI number1972471233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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