SHALE MARKS (NPI# 1033586284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033586284 |
| Entity Type | Individual |
| Full Name | SHALE MARKS |
| Credential | CADC |
| Practice Address |
210 Skokie Valley Rd Ste A Highland Park IL 60035-4464 |
| Practice Telephone | 8479081503 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31537 | IL | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 150.102210 | IL | Behavioral Health & Social Service Providers |
| Street Address |
210 SKOKIE VALLEY RD STE A |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617790 | Lisa Lew | Social Worker | 1047 Centerfield Ct, Highland Park, IL 60035-2311 | 2020-01-06 |
| 1124544267 | Zeal A Martin | Social Worker | 315 S 11th Ave Apt A, Highland Park, NJ 08904-3430 | 2017-08-21 |
| 1821540527 | Soryl Sima Lichtman | Social Worker | 11 Raritan Ave Apt B3, Highland Park, NJ 08904-1719 | 2016-10-28 |
| 1366895807 | Kayla Ledvina | Social Worker | 142 N 10th Ave, Highland Park, NJ 08904-3632 | 2016-07-20 |
| 1396096954 | Shavon D Barber | Social Worker | 13233 Hamilton Ave, Highland Park, MI 48203-3258 | 2012-09-24 |
| 1649581273 | Avigayl Leff | Social Worker | 75 Raritan Ave, Highland Park, NJ 08904-2442 | 2010-06-29 |
| 1861677718 | Gliceria G. Perez | Social Worker | 320 Raritan Ave Ste 204c, Highland Park, NJ 08904-2752 | 2008-01-09 |
| 1407065212 | Bethann Albert | Social Worker | 320 Raritan Ave Ste 202a, Highland Park, NJ 08904-2752 | 2007-05-21 |
| 1033238555 | Janet M. Chiorello-ellis | Social Worker | 47 Raritan Ave Ste 2a, Highland Park, NJ 08904-2440 | 2007-03-28 |
| 1861566275 | Carol O Weinberg | Social Worker | 426 Park Ave E, Suite 5, Highland Park, IL 60035-2627 | 2006-11-17 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.