Nicholas Markovich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017501 Issued in IL

Practice address

208 18TH St
Suite 208
Rock Island, IL 61201-8720

Phone

(309) 283-7361

Fax

(309) 283-7362

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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.

• Arrowhead Ranch

  • Community/Behavioral Health Agency
  • Rock Island, IL
  • NPI 1972905438
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2015.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1134516370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 18TH ST",
            "address_2": "SUITE 208",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018720",
            "telephone_number": "309-283-7361",
            "fax_number": "309-283-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 18TH ST",
            "address_2": "SUITE 208",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018720",
            "telephone_number": "309-283-7361",
            "fax_number": "309-283-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVICH",
        "first_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Morgan Majeske, M.S., CCC-SLP
• Lucy A Manis, LCPC
• Kristi Annette Manley, LMHC LCPC
• Seetharam Reddy Mannem, MD., MRCPUK
• Maratin MD LLC
• Sammy Marogil, M.D.
• Marriage and Family Counseling Service of R I Co
• Rojeanna L Marsh
• Erin Kathleen Marshall
• Emily Anne Martin, LCSW

• All providers in Rock Island, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.