Active NPIIndividual providerSole proprietor

Mr. Mark S Spivak, LICSW

Social Worker, Clinical in Newburyport, Massachusetts

NPI Number1750509352
Practice location
25 State St, Newburyport, MA 01950-6614
Fax
978-948-5505
Last updated
July 9, 2007

Mark Stephen Spivak is a Social Worker, Clinical based in Newburyport, MA. Mark Stephen Spivak practices in Newburyport, MA and has the professional credentials of LICSW. The NPI Number for Mark Stephen Spivak is 1750509352 and holds a License No. 105249 (MA). The current practice location address for Mark Stephen Spivak is 25 State St, Newburyport, MA 01950-6614 and can be reached out via phone at 978-948-5505 and via fax at 978-948-5505.

Provider Profile Details

NPI Number
1750509352
Provider Name
Mark Stephen Spivak
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
25 State St, Newburyport, MA 01950-6614
Phone Number
978-948-5505
Fax Number
978-948-5505
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 State St
Newburyport, MA 01950-6614
Zip
01950-6614
Phone Number
978-948-5505
Fax Number
978-948-5505
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
38 Fenno Dr
Rowley, MA 01969-1005
City
Rowley
State
MA
Zip
01969-1005
Phone Number
978-948-5505
Fax Number
978-948-5505

License Information

License Number
105249
License State
MA
Taxonomy
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 Mr. Mark S Spivak, LICSW?

The NPI number of Mr. Mark S Spivak, LICSW is 1750509352. It was assigned on April 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark S Spivak, LICSW?

Mr. Mark S Spivak, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105249.

Where does Mr. Mark S Spivak, LICSW practice?

The practice location is 25 State St, Newburyport, MA 01950-6614. The office can be reached at 978-948-5505 (phone) or 978-948-5505 (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 1750509352 directly on the NPPES registry website.

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