Active NPIIndividual provider

Mark Lane, LICSW

Social Worker, Clinical in Woburn, Massachusetts

NPI Number1700127156
Practice location
400 Tradecenter Ste 5900, Woburn, MA 01801-7471
Fax
—
Last updated
April 27, 2022

Mark Lane is a Social Worker, Clinical based in Woburn, MA. Mark Lane practices in Woburn, MA and has the professional credentials of LICSW. The NPI Number for Mark Lane is 1700127156 and holds a License No. 123343 (MA). The current practice location address for Mark Lane is 400 Tradecenter Ste 5900, Woburn, MA 01801-7471 and can be reached out via phone at 617-209-9477.

Provider Profile Details

NPI Number
1700127156
Provider Name
Mark Lane
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
400 Tradecenter Ste 5900, Woburn, MA 01801-7471
Phone Number
617-209-9477
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2013
Last Update Date
April 27, 2022
Certification Date
April 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Tradecenter Ste 5900
Woburn, MA 01801-7471
City
Woburn
Zip
01801-7471
Phone Number
617-209-9477
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
400 Tradecenter Ste 5900
Woburn, MA 01801-7471
City
Woburn
State
MA
Zip
01801-7471
Phone Number
617-209-9477

License Information

Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
123343
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · 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 Mark Lane, LICSW?

The NPI number of Mark Lane, LICSW is 1700127156. It was assigned on March 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Mark Lane, LICSW?

Mark Lane, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 123343.

Where does Mark Lane, LICSW practice?

The practice location is 400 Tradecenter Ste 5900, Woburn, MA 01801-7471. The office can be reached at 617-209-9477 (phone).

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 1700127156 directly on the NPPES registry website.

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