Mark Alan Stoltz

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MARK ALAN STOLTZ

Practice address

993 Beaver Dr
Du Bois, PA 15801-2513

Phone

(814) 771-5544

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Mark A Stoltz, LCSWNPI 1679598924

Title

Owner

Phone

(814) 771-5544

Specialties & licenses 1

Addresses

Other names 1

• Mark Stoltz LCSW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Stoltz, LCSW

  • Social Worker
  • Du Bois, PA
  • NPI 1679598924
  NPD Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1659030328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019028",
            "telephone_number": "814-771-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012513",
            "telephone_number": "814-771-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ALAN STOLTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-771-5544",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Stoltz LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory T Majewsky, BS
• Autumn Nicole Malliard, PA-C
• Mark W. Maloney, D.O.
• Martin R Maloney, PT
• Carmine C Marchioli, MD
• Naehal Patel Marra, D.O.
• Grace L. Marshall, B. S.
• Hillary A Marshall, MPA, PA-C
• Brittany Martell, SPECIALIST
• Christina M. Martz, B. S.

• Adult Mental Health Clinic/Center in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.