Active NPI
Shatina Marks, LMSW
- Social Worker
- Flint, MI
National Provider Identifier
1124368634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802086902
- Practice address
- 4318 Miller Rd
Flint, MI 48507-1267 - Phone
- (810) 249-9924
- Fax
- (810) 249-9927
- NPI assigned
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | 6802086902 | MI | Primary |
Addresses
Primary practice location
4318 Miller Rd
Flint, MI 48507-1267
Mailing address
1013 N River Rd
Saginaw, MI 48609-6833
Phone (989) 859-6135
Other practice location 1
2702 Flushing Rd
Flint, MI 48504-4534
Phone (810) 471-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802086902 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Best Me Counseling Services LLC | Social Worker | Current | Accepting new patients |
| Holy Cross Youth and Family Services Inc | Past | Accepting new patients |
Locations
2091 Professional Dr
Flint, MI 48532
Phone (810) 732-1652
742 Neubert Ave
Flint, MI 48507
Phone (248) 920-9909
400 Stoddard Rd
Richmond, MI 48062
Organizations & group practices 3
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.
-
- Social Worker
- Flint, MI
- NPI 1417461534
-
- Substance Abuse Rehabilitation Facility
- Richmond, MI
- NPI 1750363305
-
- Substance Abuse Rehabilitation Facility
- Saginaw, MI
- NPI 1093152092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1124368634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 N RIVER RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486096833",
"telephone_number": "989-859-6135",
"fax_number": "989-401-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 MILLER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485071267",
"telephone_number": "810-249-9924",
"fax_number": "810-249-9927"
}
],
"practiceLocations": [
{
"address_1": "2702 Flushing Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485044534",
"country_code": "US",
"telephone_number": "810-471-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKS",
"first_name": "SHATINA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802086902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.