Organization Active NPI

Mark Sandvoss LLC

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1912241571
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 7743 Issued in FL
Legal business name
MARK SANDVOSS LLC
Practice address
1505 N University Dr
Suite 403
Coral Springs, FL 33071-8921
Phone
(954) 362-3590
Fax
(954) 362-3589
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Mr. Mark T Sandvoss, L.C.S.W.
Title
Psychotherapist
Phone
(954) 362-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 7743 FL Primary

Addresses

Primary practice location

1505 N University Dr
Suite 403
Coral Springs, FL 33071-8921

Mailing address

1505 N University Dr
Suite 403
Coral Springs, FL 33071-8921
Phone (954) 362-3590

National Provider Directory

National Provider Directory

Locations

1505 N University Dr
Ste 403
Coral Springs, FL 33071
Phone (954) 362-3590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1912241571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N UNIVERSITY DR",
            "address_2": "SUITE 403",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718921",
            "telephone_number": "954-362-3590",
            "fax_number": "954-362-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N UNIVERSITY DR",
            "address_2": "SUITE 403",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718921",
            "telephone_number": "954-362-3590",
            "fax_number": "954-362-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SANDVOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SANDVOSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-362-3590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.