Individual provider Active NPI

Mark D Varney, LMSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1700109535
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078419 Issued in MI
Practice address
7551 Hampton Oaks Dr
Portage, MI 49024-5063
Phone
(269) 275-3850
Fax
(269) 321-3013
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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 6801078419 MI Primary

Addresses

Primary practice location

7551 Hampton Oaks Dr
Portage, MI 49024-5063

Mailing address

7551 Hampton Oaks Dr
Portage, MI 49024-5063
Phone (269) 275-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100326000867 MI Practitioner - Clinical Social Worker 5890821011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Counseling ServicesGroup PAC ID 5193114635, 13 clinicians

Practice addresses (Care Compare)

246 E Kilgore Rd
Portage, MI 49002-0507
Phone (269) 249-7179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078419MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Counseling Services Clinical CurrentSince Jul 1, 2022 Accepting new patients
Interface Consultation Services Past Accepting new patients

Locations

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Ste 200
Portage, MI 49002
Phone (269) 249-7179

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1700109535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 HAMPTON OAKS DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245063",
            "telephone_number": "269-275-3850",
            "fax_number": "269-321-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 HAMPTON OAKS DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245063",
            "telephone_number": "269-275-3850",
            "fax_number": "269-321-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNEY",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.