Active NPIIndividual providerSole proprietor

Mark K Roos, LCSW

Social Worker, Clinical in Stratford, Connecticut

NPI Number1851519391
Practice location
2505 Main St, Suite Number 208, Stratford, CT 06615-5839
Fax
203-744-4204
Last updated
July 8, 2007

Mark Karel Roos is a Social Worker, Clinical based in Stratford, CT. Mark Karel Roos practices in Stratford, CT and has the professional credentials of LCSW. The NPI Number for Mark Karel Roos is 1851519391 and holds a License No. 005620 (CT). The current practice location address for Mark Karel Roos is 2505 Main St, Suite Number 208, Stratford, CT 06615-5839 and can be reached out via phone at 203-386-0364 and via fax at 203-744-4204.

Provider Profile Details

NPI Number
1851519391
Provider Name
Mark Karel Roos
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2505 Main St, Suite Number 208, Stratford, CT 06615-5839
Phone Number
203-386-0364
Fax Number
203-744-4204
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2505 Main St
Suite Number 208
Stratford, CT 06615-5839
Zip
06615-5839
Phone Number
203-386-0364
Fax Number
203-744-4204
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
6 Crestview RD
Bethel, CT 06801-2606
City
Bethel
State
CT
Zip
06801-2606
Phone Number
203-744-4204
Fax Number
203-744-4204

License Information

License Number
005620
License State
CT
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 Mark K Roos, LCSW?

The NPI number of Mark K Roos, LCSW is 1851519391. It was assigned on April 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark K Roos, LCSW?

Mark K Roos, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005620.

Where does Mark K Roos, LCSW practice?

The practice location is 2505 Main St, Suite Number 208, Stratford, CT 06615-5839. The office can be reached at 203-386-0364 (phone) or 203-744-4204 (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 1851519391 directly on the NPPES registry website.

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