Mark Ian Segal, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11838 Issued in MD

Practice address

931 Truro LN
Crofton, MD 21114-1203

Phone

(443) 292-4164

NPI assigned

Mar 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mark I. Segal, LLC

  • Clinical Social Worker
  • Crofton, MD
  • NPI 1710231980
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1154591527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 TRURO LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141203",
            "telephone_number": "443-292-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 TRURO LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141203",
            "telephone_number": "443-292-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "MARK",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-02",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588059 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Scott
• Stephanie Leigh Seabold
• Ashley Seals, DDS, MS
• Jacob Sears, LCPC
• Mary Elizabeth Seay, MS, OTR/L
• Sarah Michel Seibold, PTA
• Karla Sellers, MS, CRNP
• Chantel Dominique Shaw
• Taci Shaw, MA.LDT
• Rosalind Renee Sheppard, PH.D.

• Clinical Social Worker in Crofton, MD
• Providers in Crofton, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.