Individual provider Active NPI

Caroline Marks, MSW

  • Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1417640616
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ISW6921 Issued in FL
Practice address
2519 Brookline Ave
New Smyrna Beach, FL 32168-5814
Phone
(321) 239-4124
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ISW6921 FL Primary

Addresses

Primary practice location

2519 Brookline Ave
New Smyrna Beach, FL 32168-5814

Mailing address

2519 Brookline Ave
New Smyrna Beach, FL 32168-5814
Phone (321) 239-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000657 FL Practitioner - Clinical Social Worker 7315383676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Counseling Services LLCGroup PAC ID 4486192648, 2 clinicians

Practice addresses (Care Compare)

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114-1214
Phone (321) 239-4124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW6921FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 10, 2024 Accepting new patients
Mobile Counseling Services LLC CurrentSince Jun 9, 2024 Accepting new patients
Mobile Counseling Services LLC CurrentSince Jun 19, 2024 Accepting new patients
Assessments Inc CurrentSince Feb 2, 2024 Accepting new patients

Locations

728 Fentress Blvd
Unit E
Daytona Beach, FL 32114
Phone (321) 239-4124

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

103 N Orange St
Unit E
New Smyrna Beach, FL 32168
Phone (386) 222-1150

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1417640616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 BROOKLINE AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321685814",
            "telephone_number": "321-239-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 BROOKLINE AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321685814",
            "telephone_number": "321-239-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "CAROLINE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "ISW6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.