Mark I. Segal, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11838 Issued in MD

Legal business name

MARK I. SEGAL, LLC

Practice address

931 Truro LN
Crofton, MD 21114-1203

Phone

(443) 292-4164

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark I. SegalNPI 1154591527

Title

Owner

Phone

(443) 292-4164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Mark Ian Segal, LCSW-C

  • Clinical Social Worker
  • Crofton, MD
  • NPI 1154591527
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1710231980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 TRURO LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141203",
            "telephone_number": "443-292-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 TRURO LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141203",
            "telephone_number": "443-292-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK I. SEGAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-292-4164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Mahaffey, MA, LGPC
• Amanda K. Malone, M.D.
• Ayushi Mangukiya
• Linda H Manna, PHARM D.
• Michael Vincent Marchese, DMD
• Courtney Marshall
• Kristen Frese Marsico, PHD, NCSP
• Jocelyn Martin, MA
• Robert Stephen Martin, D.M.D., M.D.S.
• Samantha Sybilla Martin, MA, LPC

• Clinical Social Worker in Crofton, MD
• Providers in Crofton, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.