Mark E. Hale, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004616 Issued in WA

Practice address

1601 116TH Ave NE
Bellevue, WA 98004-3010

Phone

(206) 726-4160

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912036237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "address_2": "SUITE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "206-726-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "206-726-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "LW00004616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ara Hakobyan
• Kate Elizabeth Halamay, MD
• Nicole Maeann Halbert, LMHCA
• Anthony Hale, OTR/L
• Charles Gordon Hale, M.D.
• Natalie Hale, PHD
• Debra Lynn Halela
• Samantha Rachelle Halela, PA-C
• Ashley Hales
• Elizabeth Jane Haley

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

• 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.

Verify at the official NPI Registry.