Mark Steven Jagos, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801075120 Issued in MI

Practice address

G-4511 Miller Rd.
Flint, MI 48507

Phone

(810) 720-3120

Fax

(810) 742-2920

NPI assigned

Apr 28, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1295112357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-4511 MILLER RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-3120",
            "fax_number": "810-742-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-4511 MILLER RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-3120",
            "fax_number": "810-742-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGOS",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801075120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Jacque
• Pamela Marie Jadwin, RDH
• Jae C Kim, MD, PC
• Jagdish Bhagat MD PC
• Franz M. Jaggi, D.O.
• Neha Jain, MD
• Sarah Jajey, PRC, RAC
• Kelly Jaksa
• Jamail Psychological Clinic PC
• Suzanne Jamail, PHD

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.