MARK REAVES (NPI# 1285808204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285808204 |
| Entity Type | Individual |
| Full Name | MARK REAVES |
| Credential | LCSW-C |
| Practice Address |
1425 Liberty Rd Suite 208 Eldersburg MD 21784-6420 |
| Practice Telephone | 4105520773 |
| Practice Fax Number | 4105520774 |
| Mailing Telephone | 4105520773 |
| Mailing Fax Number | 4105520774 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12628 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648015 | Mark Andrew Reaves | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2017-09-25 |
| Street Address |
1425 LIBERTY RD SUITE 208 |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-6420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103926 | Cedar Ridge Counseling Centers, LLC | Clinic/Center | 1425 Liberty Rd, Ste 208, Eldersburg, MD 21784-6415 | 2005-06-08 |
| 1154937696 | Deanna Krouse | Social Worker | 1425 Liberty Rd, Eldersburg, MD 21784-6420 | 2020-09-21 |
| 1730633900 | Tina Buck | Counselor | 1425 Liberty Rd, Eldersburg, MD 21784-6420 | 2016-08-05 |
| 1144672833 | Mario Conliffe | Counselor | 1425 Liberty Rd, Suite 206, Eldersburg, MD 21784-6420 | 2016-07-06 |
| 1518319201 | Mario Conliffe | Community/Behavioral Health | 1425 Liberty Rd, Suite 206, Eldersburg, MD 21784-6420 | 2016-07-06 |
| 1912397993 | Empowering Hearts & Minds, LLC | Social Worker | 1425 Liberty Rd, Suite 202, Eldersburg, MD 21784-6420 | 2015-01-29 |
| 1336555937 | Deborah Lynn Devincent | Counselor | 1425 Liberty Rd, Suite 206, Eldersburg, MD 21784-6420 | 2014-07-03 |
| 1073819090 | Laura K Rhodes | Counselor | 1425 Liberty Rd, Suite 208, Eldersburg, MD 21784-6420 | 2011-02-09 |
| 1881913556 | Lisa R Dubbs | Social Worker | 1425 Liberty Rd, Suite 202, Eldersburg, MD 21784-6420 | 2010-05-20 |
| 1174853253 | Holly M Chalk | Psychologist | 1425 Liberty Rd, Suite 208, Eldersburg, MD 21784-6420 | 2010-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988135 | Jaime L Martin | Social Worker | 5420 Klee Mill Rd S Ste 4, Eldersburg, MD 21784-9230 | 2019-08-24 |
| 1790987550 | Jason Grant Hyde | Social Worker | 1327 Hillcrest Dr, Eldersburg, MD 21784-8344 | 2007-06-04 |
| 1265581839 | Judith Roehrs Kunnes | Social Worker | 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784-6439 | 2007-01-10 |
| 1740228238 | Marie Halecki | Social Worker | 1643 Liberty Rd, Ste 204, Eldersburg, MD 21784-6544 | 2006-06-04 |
| 1154937696 | Deanna Krouse | Social Worker | 1425 Liberty Rd, Eldersburg, MD 21784-6420 | 2020-09-21 |
| 1184266819 | Emily L Angerhofer | Social Worker | 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784-6439 | 2019-10-15 |
| 1669029666 | Mindful Living Counseling, LLC | Social Worker | 1643 Liberty Rd Ste 105, Eldersburg, MD 21784-6545 | 2019-08-23 |
| 1255813960 | Jessica P Mott | Social Worker | 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784-6439 | 2018-08-30 |
| 1912397993 | Empowering Hearts & Minds, LLC | Social Worker | 1425 Liberty Rd, Suite 202, Eldersburg, MD 21784-6420 | 2015-01-29 |
| 1346670684 | Jenifer Jean Strine | Social Worker | 1311 Londontown Blvd, Suite 130a, Eldersburg, MD 21784-6454 | 2013-11-23 |
| Find all providers in ELDERSBURG | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.