Active NPI
Helen Mark, LCSW
- Clinical Social Worker
- Suffern, NY
National Provider Identifier
1427064633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073660
- Practice address
- 233 Lafayette Ave
Suite LL4
Suffern, NY 10901-4821 - Phone
- (845) 369-3416
- Fax
- (845) 290-9845
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073660 | NY | Primary |
Addresses
Primary practice location
233 Lafayette Ave
Suite LL4
Suffern, NY 10901-4821
Mailing address
233 Lafayette Ave
Suite LL4
Suffern, NY 10901-4821
Phone (845) 369-3416
Other names 1
- Mrs. Helen A. Mark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049704 | NY | MD | Pharmacist |
| 073660 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427064633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 LAFAYETTE AVE",
"address_2": "SUITE LL4",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014821",
"telephone_number": "845-369-3416",
"fax_number": "845-290-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 LAFAYETTE AVE",
"address_2": "SUITE LL4",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014821",
"telephone_number": "845-369-3416",
"fax_number": "845-290-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "MARK",
"middle_name": "A.",
"prefix": "MRS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.