J Mark Oshea Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001638 Issued in VA

Legal business name

J MARK OSHEA INC

Practice address

4906 Millridge Pkwy E
Midlothian, VA 23112-4828

Phone

(804) 744-5611

Fax

(804) 739-1691

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J. Mark O'SheaNPI 1558380758

Title

LCSW

Phone

(804) 744-5611

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J. Mark O'Shea, LCSW

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1558380758
  NPD Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1720237266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-744-5611",
            "fax_number": "804-739-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-744-5611",
            "fax_number": "804-739-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MARK OSHEA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "804-744-5611"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010026997",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon Keith Isom, RBT
• Madeline Anne Ivanchenko, PH.D.
• Jane P Ivey, RN
• Ivymont Dental (Amine Dental, PLLC)
• Ivyrehab Sept, LLC (Spectrum Physical Therapy & Southeastern Therapy for Kids)
• Clayton Jackson
• Jordan Aaron Jackson, M.D.
• Justice Jackson
• Kristen Marshelle Jackson
• Jacob Clark Psychotherapy Group

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.