Individual provider Active NPI

Mark A Spieles, LISW

  • Clinical Social Worker
  • Van Wert, OH
National Provider Identifier
1003099292
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0700426 Issued in OH
Practice address
1158 Westwood Dr
Van Wert, OH 45891-2449
Phone
(419) 238-3434
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0700426 OH Primary

Addresses

Primary practice location

1158 Westwood Dr
Van Wert, OH 45891-2449

Mailing address

603 S Washington St
Van Wert, OH 45891-2307
Phone (419) 302-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000898 OH Practitioner - Clinical Social Worker 3779667852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1158 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 238-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0700426OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Behavioral Health Center, Inc. Current Accepting new patients
Westwood Behavioral Health Center, Inc. CurrentSince Nov 27, 2007 Accepting new patients
Paulding Counseling Center Past Accepting new patients

Locations

501 Mc Donald Pike
Paulding, OH 45879
Phone (419) 238-3434

140 Fox Rd
Van Wert, OH 45891
Phone (419) 238-7700

1158 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-3434

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1003099292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912307",
            "telephone_number": "419-302-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-238-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELES",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0700426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.