Active NPIIndividual provider

Mr. Mark Cerberville, LMSW

Social Worker in Goshen, New York

NPI Number1558697433
Practice location
2001 Route 17M, Goshen, NY 10924-5241
Fax
845-692-7125
Last updated
October 27, 2009

Mark Cerberville is a Social Worker based in Goshen, NY. Mark Cerberville practices in Goshen, NY and has the professional credentials of LMSW. The NPI Number for Mark Cerberville is 1558697433 and holds a License No. 032827-1 (NY). The current practice location address for Mark Cerberville is 2001 Route 17M, Goshen, NY 10924-5241 and can be reached out via phone at 845-790-9011 and via fax at 845-692-7125.

Provider Profile Details

NPI Number
1558697433
Provider Name
Mark Cerberville
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
2001 Route 17M, Goshen, NY 10924-5241
Phone Number
845-790-9011
Fax Number
845-692-7125
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2009
Last Update Date
October 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
2001 Route 17M
Goshen, NY 10924-5241
City
Goshen
Zip
10924-5241
Phone Number
845-790-9011
Fax Number
845-692-7125
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
2001 Route 17M
Goshen, NY 10924-5241
City
Goshen
State
NY
Zip
10924-5241
Phone Number
845-790-9011
Fax Number
845-692-7125

License Information

License Number
032827-1
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark Cerberville, LMSW?

The NPI number of Mr. Mark Cerberville, LMSW is 1558697433. It was assigned on October 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark Cerberville, LMSW?

Mr. Mark Cerberville, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 032827-1.

Where does Mr. Mark Cerberville, LMSW practice?

The practice location is 2001 Route 17M, Goshen, NY 10924-5241. The office can be reached at 845-790-9011 (phone) or 845-692-7125 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558697433 directly on the NPPES registry website.

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