Mark McNish
Individual provider Active NPI Social Worker · Ravenna, NE
NPI 1972300465 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1972300465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 816 Verona Ave
Ravenna, NE 68869-1017 - Phone
- (308) 279-6051
- NPI assigned
- Mar 3, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
816 Verona Ave
Ravenna, NE 68869-1017
Mailing address
816 Verona Ave
Ravenna, NE 68869-1017
Phone (308) 279-6051
Other providers in Ravenna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.