Shale Marks, CADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.102210 Issued in IL

Practice address

210 Skokie Valley Rd Ste a
Highland Park, IL 60035-4464

Phone

(847) 908-1503

NPI assigned

Aug 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Suncloud Health

  • Psychiatric Residential Treatment Facility
  • Northbrook, IL
  • NPI 1972952133

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1033586284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD STE A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD STE A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464",
            "telephone_number": "847-908-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "SHALE",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "31537",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marcolin Houser, LCSW
• Margaret a. Fish, LTD.
• Judi Ann Marino, MS CCC-SLP
• Linda Marion, OTR/L
• Mark a. Greenberger, M.D., S.C.
• Norman J Markus, MD
• Jennifer Martin, ED.S., NCSP
• Karen Anne Martin, L.C.S.W.
• Matthew Martinek, PA-C
• Carole Sims Henn Martz, CNS

• Social Worker in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.