Mark Dearing,LCSW Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0000953 Issued in FL

Legal business name

MARK DEARING,LCSW INC

Practice address

12412 San Jose Blvd Ste 401
Jacksonville, FL 32223-8620

Phone

(904) 348-0343

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Mark Richard Dearing, LCSWNPI 1013069137

Title

Licensed Clinical Social Worker

Phone

(904) 477-5678

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Richard Dearing, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1013069137

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1003103334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 MOSSY CYPRESS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322235023",
            "telephone_number": "904-477-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238620",
            "telephone_number": "904-348-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DEARING,LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "DEARING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "904-477-5678",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie G. Cupp
• Mark a Smith MD,P.a.
• Mark B Phillips M.D., P.a.
• Mark C Monroe MD PA
• Mark C. Hofmann, M.D., P.a.
• Mark L. Abramson, MD, PA
• Mark L. Dumdei, Inc.
• Mark P Abood DDS Theresa B Abood DMD
• Mark Pierce Chiropractic Clinic
• Mark S Schwartz PHD Endeavors

• All providers in Jacksonville, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.