Mark Neese, BCBA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1239 Issued in KY

Practice address

3432 Illinois Ave
Louisville, KY 40213-1018

Phone

(502) 435-9226

Fax

(502) 634-1170

NPI assigned

May 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sage Support Services

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1164220786
  NPD Authorized official
• True North Counseling

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1356109953
  NPD Authorized official
• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Clinical

  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1821316613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 BLADE CREST WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402915076",
            "telephone_number": "502-435-9226",
            "fax_number": "502-384-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 ILLINOIS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131018",
            "telephone_number": "502-435-9226",
            "fax_number": "502-634-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESE",
        "first_name": "MARK",
        "credential": "BCBA, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-08-4859",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Neely
• Linda Neely
• Myra Neeraj, BS IN NEUROSCIENCE
• Jessica Lynn Neese, COTA
• Lyndsey D Neese, M.D.
• Brandi M. Neff-Short, APRN
• Adam Neff
• Arundhati Negi
• Adrian Negron
• Jennifer Negron, PHARMD

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.