Mark Ian Segal is a Clinical in Crofton, Maryland. Mark Ian Segal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Ian Segal is 1154591527. The last update date is 2012-11-09.
Mark Ian Segal's current location address is 931 Truro Ln, Crofton, Maryland. You can contact this provider via phone number 4432924164. The mailing address for Mark Ian Segal is 931 Truro Ln, Crofton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Ian Segal |
|---|---|
| Address | 931 Truro Ln, Crofton, Maryland |
| Phone Number | 4432924164 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1154591527 |
|---|---|
| Provider Enumeration Date | 2008-03-02 |
| Last Updated Date | 2012-11-09 |
Provider Mailing Address Detail
| Address | 931 Truro Ln |
|---|---|
| City | Crofton |
| State | Maryland (MD) |
| Post Code | 211141203 |
| Phone Number | 4432924164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 11838 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0588059 00 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Ian Segal?
The Mark Ian Segal has been issued the NPI (National Provider Identifier) 1154591527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark Ian Segal is located?
The Mark Ian Segal is situated at the following address: 931 Truro Ln, Crofton, MD, 211141203.
What is Mark Ian Segal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Ian Segal is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154591527 to Mark Ian Segal?
The Centers for Medicare & Medicaid Services originally issued the 1154591527 to Mark Ian Segal on 2008-03-02.
When was the information regarding Mark Ian Segal most recently updated?
The details pertaining to the Mark Ian Segal, including its address, specialty, and other relevant information, were last refreshed on 2012-11-09.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA