MARK AUSTIN (NPI# 1356840953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356840953 |
| Entity Type | Individual |
| Full Name | MARK AUSTIN |
| Credential | LCSW |
| Practice Address |
155 Cougar Dr Manchester CT 06040-6380 |
| Practice Telephone | 8607947497 |
| Mailing Telephone | 8607947497 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009222 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225475395 | Mark Austin | Dentist | 2100 Se 164th Ave., Suite D102, Vancouver, WA 98683 | 2013-05-30 |
| 1457427924 | Mark Christopher Austin | Dentist | 2001 S. Baxter Drive, Leland, NC 28451-9999 | 2006-11-28 |
| 1780754127 | Mark Austin | Preventive Medicine | 500 Lincoln Dr Ste D, Herrin, IL 62948-6355 | 2006-11-09 |
| 1467447268 | Mark B Austin | Pathology | 6810 Reliable Pkwy, Chicago, IL 60686-0001 | 2005-09-19 |
| 1538699152 | Mark Austin | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5048 | 2017-06-15 |
| 1053690784 | Mark Austin | Counselor | 374 Grand Ave, New Haven, CT 06513-3733 | 2011-08-11 |
| 1487697959 | Mark C Austin | Ophthalmology | 1301 E Northland Ave, Ste A, Appleton, WI 54911-8426 | 2006-06-13 |
| 1013987908 | Mark Wayne Austin | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2006-01-24 |
| 1225017098 | Mark John Austin | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-01-11 |
| Street Address |
155 COUGAR DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1730799099 | T.r.u.e. Self Counseling | Social Worker | 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 | 2020-08-03 |
| 1992328710 | Cheryl Kinney | Social Worker | 623 Meramec Station Rd, Manchester, MO 63021-5550 | 2020-05-27 |
| 1649818857 | Amanda Duenas | Social Worker | 26 Hamlin St, Manchester, CT 06040-5319 | 2019-12-18 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1700344165 | Morgan Moller | Social Worker | 200 W Center St Ste C-2-6, Manchester, CT 06040-4864 | 2019-03-05 |
| 1336615103 | Sarah Canning Howroyd | Social Worker | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-10-19 |
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1497239016 | Erin Macdonald Lajeunesse | Social Worker | 182 Kearsarge St, Manchester, NH 03102-3402 | 2018-09-19 |
| 1316420987 | Filomena Dasilva-clark | Social Worker | 284 N Bay St, Manchester, NH 03104-2324 | 2018-09-10 |
| 1386127009 | Susannah Blass Dipasquale | Social Worker | 2 Pinewood Rd, Manchester, MA 01944-1036 | 2018-09-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.