Bettina A. Marks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4396 Issued in FL

Practice address

9030 W Fort Island TRL
BLDG. 8, Suite B
Crystal River, FL 34429-2412

Phone

(352) 563-1407

Fax

(352) 563-1407

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457449274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "BLDG. 8, SUITE B",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-563-1407",
            "fax_number": "352-563-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "BLDG. 8, SUITE B",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-563-1407",
            "fax_number": "352-563-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "BETTINA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Lundy, APRN
• Mary-Ellen Macdonald, FNP
• Manoj B Shukla MD PA (Citrus Pulmonary Consultants)
• Olga Maric, MD
• Marlen Grace Marin, APRN
• Christina Martensson, LCSW
• Deborah Anne Martin, LCSW
• Mary Sue Martin, MD
• Sarah M Maruszczak, SLP
• Michael Masterson

• Clinical Social Worker in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Clinical Social Worker in Florida

• 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.

Verify at the official NPI Registry.