Individual provider Active NPI

Mark Senkus

  • Social Worker
  • Sault Sainte Marie, MI
National Provider Identifier
1124460092
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone
(906) 632-2805
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Mailing address

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191120002931 MI Practitioner - Clinical Social Worker 0143652651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, 29 clinicians

Practice addresses (Care Compare)

2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians CurrentSince Nov 1, 2019 Accepting new patients
Sault Tribe of Chippewa Indians CurrentSince Nov 1, 2019 Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients

Locations

2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1124460092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286",
            "telephone_number": "906-632-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKUS",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.