Mark Fleming, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56791 Issued in TX

Legal business name

MARK FLEMING, PLLC

Practice address

5828 Balcones Dr Ste 101
Austin, TX 78731-4279

Phone

(512) 703-0005

NPI assigned

Jun 23, 2018

Last updated

Jun 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Evan Fleming, LCSWNPI 1235635152

Title

LCSW

Phone

(512) 703-0005

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Evan Fleming, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1235635152
  Authorized official Same address or phone

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529712000000",
    "number": "1417442344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 COLTON BLUFF SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787447205",
            "telephone_number": "512-674-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 BALCONES DR STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314279",
            "telephone_number": "512-703-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FLEMING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-06-23",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "512-703-0005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.