Mark R Hedgepeth, LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0401701 Issued in NY

Practice address

58 B Milton St
Geneva, NY 14456

Phone

(315) 789-8291

Fax

(315) 789-8291

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diduro Chiropractic PLLC

  • Chiropractor
  • Geneva, NY
  • NPI 1497837546
  NPD (past)
• Lowry Chiropractic & Wellness Care PC

  • Chiropractor
  • Geneva, NY
  • NPI 1467489724
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003983347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 B MILTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-8291",
            "fax_number": "315-789-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 B MILTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-8291",
            "fax_number": "315-789-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0401701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartman Hand & Occupational Therapy of Clifton Springs P.C.
• Hartman Hand & Occupational Therapy of Clifton Springs P.C.
• Hartman Hand & Occupational Therapy of Clifton Springs P.C.
• Terri Doreen Haskins, NP (FAMILY NURSE PRA
• Heidi Anne Haus, CCC-SLP
• Tracy Heffron, PA
• Sierralynn Marie Helming, PA-C
• Daniela Henderson
• Henderson'S Drug Store, Inc.
• Christopher Lee Henthorne, D.C.

• Clinical Social Worker in Geneva, NY
• Providers in Geneva, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.