Individual provider Active NPI

Mark Scott Yarnold, LCSW

  • Clinical Social Worker
  • North Miami Beach, FL
National Provider Identifier
1831230325
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2565 Issued in FL
Practice address
1400 NE Miami Gardens Dr # 206-C
North Miami Beach, FL 33179-4845
Phone
(305) 761-1508
Fax
(305) 354-7664
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 SW2565 FL Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr # 206-C
North Miami Beach, FL 33179-4845

Mailing address

1400 NE Miami Gardens Dr # 206-C
North Miami Beach, FL 33179-4845
Phone (305) 761-1508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2565FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1831230325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR # 206-C",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794845",
            "telephone_number": "305-761-1508",
            "fax_number": "305-354-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR # 206-C",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794845",
            "telephone_number": "305-761-1508",
            "fax_number": "305-354-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNOLD",
        "first_name": "MARK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.