MARGOT DEARBORN MARSH (LICSW) – Clinical Social Worker, NPI 1093475923

MARGOT DEARBORN MARSH (LICSW) is a healthcare provider. based in Minnetonka, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 27514 (MN). The NPI Number for MARGOT DEARBORN MARSH (LICSW) is 1093475923

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARGOT DEARBORN MARSH (LICSW)
NPI
1093475923
Phone
(952) 932-7277
Address
5125 COUNTY ROAD 101 STE 300
Enumeration Date
20 December 2021
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122238898
Graduation Year
2018 (8 years ago)
PAC ID
2961895644
Group Practice PAC ID
7517181266
Professional Enrollment ID
I20220201000842
Address ID
MN554463813PL4100XNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MARGOT DEARBORN MARSH (LICSW)

  • 5125 COUNTY ROAD 101 STE 300

    MINNETONKA, MN 553454157

    Phone: (952) 932-7277

    Fax: (952) 932-9827

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220201000842IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55345)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517181266View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
-MN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Where can patients find MARGOT DEARBORN MARSH (LICSW)'s NPI?
You can confirm MARGOT DEARBORN MARSH (LICSW) with NPI 1093475923; it appears in the national provider directory.
Does this profile mean MARGOT DEARBORN MARSH (LICSW) is currently active?
Yes — MARGOT DEARBORN MARSH (LICSW) appears active in the national provider directory.
What field does MARGOT DEARBORN MARSH (LICSW) work in?
You can think of MARGOT DEARBORN MARSH (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MARGOT DEARBORN MARSH (LICSW)'s primary listing?
We display Minnetonka, Minnesota because that is what the record indicates for MARGOT DEARBORN MARSH (LICSW).
Is MARGOT DEARBORN MARSH (LICSW) a real provider?
This page reflects official NPPES data for NPI 1093475923. Always confirm identity and privileges with the practice and licensing boards.

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