Provider Demographics
NPI:1285997833
Name:MARSH, CLIFFORD BERNARD (EDD, EDS, MS, MSW)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:BERNARD
Last Name:MARSH
Suffix:
Gender:M
Credentials:EDD, EDS, MS, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 MOCKERNUT LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-4432
Mailing Address - Country:US
Mailing Address - Phone:202-695-0187
Mailing Address - Fax:
Practice Address - Street 1:615 MOCKERNUT LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-4432
Practice Address - Country:US
Practice Address - Phone:202-695-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040108071041C0700X
CT158331041C0700X
MN328971041C0700X
DCLC2000042881041C0700X
SC72221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical