Active NPI
Mark Rock
- Social Worker
- Youngstown, OH
National Provider Identifier
1609599158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2208149
- Practice address
- 284 Broadway Ave
Youngstown, OH 44504-1752 - Phone
- (330) 782-5664
- Fax
- (330) 782-1614
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2208149 | OH | Primary |
Addresses
Primary practice location
284 Broadway Ave
Youngstown, OH 44504-1752
Mailing address
284 Broadway Ave
Youngstown, OH 44504-1752
Phone (330) 782-5664
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2208149 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1609599158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 BROADWAY AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041752",
"telephone_number": "330-782-5664",
"fax_number": "330-782-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 BROADWAY AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041752",
"telephone_number": "330-782-5664",
"fax_number": "330-782-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2208149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.