Active NPI
Mark Allen Steinberg, PHD
- Clinical Social Worker
- Swampscott, MA
National Provider Identifier
1609955210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104684
- Practice address
- 440 Humphrey Street
Suite 3
Swampscott, MA 01907 - Phone
- (781) 598-6680
- Fax
- (781) 596-3669
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104684 | MA | Primary |
Addresses
Primary practice location
440 Humphrey Street
Suite 3
Swampscott, MA 01907
Mailing address
440 Humphrey Street
Suite 3
Swampscott, MA 01907
Phone (781) 598-6680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104684 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1609955210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 HUMPHREY STREET",
"address_2": "SUITE 3",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "01907",
"telephone_number": "781-598-6680",
"fax_number": "781-596-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 HUMPHREY STREET",
"address_2": "SUITE 3",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "01907",
"telephone_number": "781-598-6680",
"fax_number": "781-596-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBERG",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "104684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.