Mark Richard Dearing, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0000953 Issued in FL

Practice address

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

Phone

(904) 348-0343

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Mark Dearing,LCSW Inc

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1003103334

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1013069137",
    "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": {
        "last_name": "DEARING",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Dean, MD
• Leesa Ann Dean, RN
• Tiara Dean, M.D.
• Dear Me Awake Inc
• Audrey Dearborn, LMHC
• Cynthia B Dearmon, OTR/L
• Tiana Deas
• Bob W Deason, DDS
• Kayla Deaton, DPT
• Subrato Jesse Deb, MD

• 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 16, 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.