Active NPI
Mark Ovrick Lisw LSSW
- Clinical Social Worker
- Ruidoso, NM
National Provider Identifier
1407123789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-05300
- Legal business name
- MARK OVRICK LISW LSSW
- Practice address
- 1096 Mechem Dr
Suite 202
Ruidoso, NM 88345-7067 - Phone
- (575) 808-8380
- Fax
- (575) 808-8380
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ovrick, LISW
- Title
- Licensed Independent Social Worker
- Phone
- (575) 937-5643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-05300 | NM | Primary |
Addresses
Primary practice location
1096 Mechem Dr
Suite 202
Ruidoso, NM 88345-7067
Mailing address
1096 Mechem Dr
Suite 202
Ruidoso, NM 88345-7067
Phone (575) 808-8380
National Provider Directory
National Provider DirectoryLocations
1096 Mechem Dr
Ste 202
Ruidoso, NM 88345
Phone (575) 258-4708
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ruidoso, NM
- NPI 1538605381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1407123789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 MECHEM DR",
"address_2": "SUITE 202",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883457067",
"telephone_number": "575-808-8380",
"fax_number": "575-808-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 MECHEM DR",
"address_2": "SUITE 202",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883457067",
"telephone_number": "575-808-8380",
"fax_number": "575-808-8380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK OVRICK LISW LSSW",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "OVRICK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
"authorized_official_telephone_number": "575-937-5643",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-05300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.