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

Mr. Simon D Marshall, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669657334

Mr. Simon D Marshall, CASAC is an Addiction (Substance Use Disorder) Counselor in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

80TH St & 41st Ave
Elmhurst, NY 11373-1329
Phone: (718) 334-3900
Fax: (718) 334-5958
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 020578 (NY)

Record details

NPI number1669657334
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorNo
NPI enumeratedDecember 31, 2007
Last updated in NPPESDecember 31, 2007
Mailing address7901 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329

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