Marshall L Kirkpatrick

Individual provider Clinical Social Worker · NPI 1174793236

Marshall L Kirkpatrick is a Mental Health Counselor in Reedsville, Wisconsin. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Washington and Wisconsin.

Years since qualifying: 21
Licensed in: WA, WI
In the registry since: 2008
Specialties on file: 2

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 218
Reedsville, WI 54230-0218
Phone: (920) 840-2745

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

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 6170-125 (WI)
Clinical Social Worker	Taxonomy 1041C0700X · Licence LH00011185 (WA)

Record details

NPI number	1174793236
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	March 5, 2008
Last updated in NPPES	September 28, 2024
Certification date	September 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2005 (21 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare