Individual provider Active NPI

John Bloch Markoff, MSW

  • Clinical Social Worker
  • Medway, MA
National Provider Identifier
1649340878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103757 Issued in MA
Practice address
89 Main St
Suite 302a
Medway, MA 02053-1815
Phone
(508) 533-2200
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103757 MA Primary

Addresses

Primary practice location

89 Main St
Suite 302a
Medway, MA 02053-1815

Mailing address

280 Marked Tree Rd
Holliston, MA 01746-1682
Phone (508) 533-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050923000533 MA Practitioner - Clinical Social Worker 3779517263 Practice locations: Holliston, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

280 Marked Rd
Holliston, MA 01746-1682

280 Marked Tree Rd
Holliston, MA 01746-1682
Phone (774) 277-1388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649340878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MARKED TREE RD",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461682",
            "telephone_number": "508-533-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "address_2": "SUITE 302A",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531815",
            "telephone_number": "508-533-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOFF",
        "first_name": "JOHN",
        "middle_name": "BLOCH",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

Verify at the official NPI Registry.