Mark Danner Smith, LISW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00578 Issued in IA

Practice address

9 N 4TH Ave
Marshalltown, IA 50158-1836

Phone

(641) 752-5421

Fax

(641) 752-7211

NPI assigned

Mar 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1841792785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1453",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581453",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581836",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "DANNER",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "00578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Larissa Smith, ARNP
• Misty Lynn Smith, BA
• Todd Charles Smith, ATC
• Amanda Elizabeth Snider, TCADC
• Janelle Lynn Snyder, LAT
• Sarah Sorsen

• Addiction (Substance Use Disorder) Counselor in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.