Active NPI
Mark Edward Talkington, MSW
- Social Worker
- Clarksburg, WV
National Provider Identifier
1912008129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00940562
- Practice address
- #1 Medical Center Drive
Clarksburg, WV 26301-4199 - Phone
- (304) 623-3461
- Fax
- (304) 626-7726
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00940562 | WV | Primary |
Addresses
Primary practice location
#1 Medical Center Drive
Clarksburg, WV 26301-4199
Mailing address
HC 62 Box 80a
Alvy, WV 26377-9510
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP00940562 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912008129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 62 BOX 80A",
"city": "ALVY",
"state": "WV",
"postal_code": "263779510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 MEDICAL CENTER DRIVE",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263014199",
"telephone_number": "304-623-3461",
"fax_number": "304-626-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALKINGTON",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00940562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.