Organization Active NPI

Mark Dworkin LCSW PC

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1205110343
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR024359-1 Issued in NY
Legal business name
MARK DWORKIN LCSW PC
Practice address
251 Mercury St
East Meadow, NY 11554-1222
Phone
(516) 731-7611
Fax
(516) 579-0171
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mark Dworkin, LCSW
Title
Owner
Phone
(516) 731-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X PR024359-1 NY Primary

Addresses

Primary practice location

251 Mercury St
East Meadow, NY 11554-1222

Mailing address

251 Mercury St
East Meadow, NY 11554-1222
Phone (516) 731-7611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1205110343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MERCURY ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541222",
            "telephone_number": "516-731-7611",
            "fax_number": "516-579-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MERCURY ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541222",
            "telephone_number": "516-731-7611",
            "fax_number": "516-579-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DWORKIN LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "DWORKIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-731-7611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR024359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.