Individual provider Active NPI

Marc Joseph Becker, LISW

  • Social Worker
  • Westerville, OH
National Provider Identifier
1902933237
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I 0005649 Issued in OH
Practice address
555 W Schrock Rd
Med West II Ste. 220
Westerville, OH 43081-8702
Phone
(614) 895-9998
Fax
(614) 895-9592
NPI assigned
Feb 27, 2007
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I 0005649 OH Primary

Addresses

Primary practice location

555 W Schrock Rd
Med West II Ste. 220
Westerville, OH 43081-8702

Mailing address

555 W Schrock Rd
Med West II Ste. 220
Westerville, OH 43081-8702
Phone (614) 895-9998

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I 0005649OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1902933237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W SCHROCK RD",
            "address_2": "MED WEST II STE. 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818702",
            "telephone_number": "614-895-9998",
            "fax_number": "614-895-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W SCHROCK RD",
            "address_2": "MED WEST II STE. 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818702",
            "telephone_number": "614-895-9998",
            "fax_number": "614-895-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I 0005649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.