Organization Active NPI

Mark Ovrick Lisw LSSW

  • Clinical Social Worker
  • Ruidoso, NM
National Provider Identifier
1407123789
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-05300 Issued in NM
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

Updated by the provider on Nov 30, 2011

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.