Individual provider Active NPI

Mark Savino, LICSW

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1023101011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1022488 Issued in MA
Practice address
52 Brigham St
Suite 5
New Bedford, MA 02740-2210
Phone
(508) 993-8332
Fax
(508) 993-1024
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1022488 MA Primary

Addresses

Primary practice location

52 Brigham St
Suite 5
New Bedford, MA 02740-2210

Mailing address

16 Joanne Dr
Marion, MA 02738-1299
Phone (508) 748-3649

Other identifiers 1

IdentifierTypeStateIssuer
1857916MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111109000269 MA Practitioner - Clinical Social Worker 1456524388 Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

52 Brigham St
New Bedford, MA 02740-2210
Phone (508) 993-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023101011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOANNE DR",
            "city": "MARION",
            "state": "MA",
            "postal_code": "027381299",
            "telephone_number": "508-748-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BRIGHAM ST",
            "address_2": "SUITE 5",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402210",
            "telephone_number": "508-993-8332",
            "fax_number": "508-993-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVINO",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857916",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.