Mark Ludwig, LCSW
Individual provider Active NPI Clinical Social Worker · Berkeley, CA
NPI 1245511484 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1245511484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 19530 (CA)
- Practice address
- 2246 6TH St
Berkeley, CA 94710-2219 - Phone
- (510) 387-5845
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19530 | CA | Yes |
Addresses
Primary practice location
2246 6TH St
Berkeley, CA 94710-2219
Mailing address
201 Highland Ave.
Piedmont, CA 94611
Phone (510) 387-5845
Other providers in Berkeley, CA
- Judith Eve-Marie Luce
- Hugo A Lucero-Retana
- Wendy Raylene Lucero
- Frank Henry Lucido
- Sandra Ludlow
- Rebecca Dianne Lueck
- Andrea Luethy
- Kwun Lum
- Howard John Lunche
- Tiffany Lundeen
All providers in Berkeley, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.