MR. MARK WILLIAM RICHARDSON (NPI# 1699213785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699213785 |
| Entity Type | Individual |
| Full Name | MR. MARK WILLIAM RICHARDSON |
| Credential | MSW, LCSW |
| Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Practice Telephone | 9739267741 |
| Mailing Telephone | 9739267741 |
| Mailing Fax Number | 9739267026 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05682000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326193657 | Mark E Richardson | Dentist | 1103 Gayle Ave, Kalamazoo, MI 49048 | 2007-01-25 |
| 1104976067 | Mark Alan Richardson | Dentist | 2330 Truxtun Ave, Ste. B, Bakersfield, CA 93301-3500 | 2007-01-11 |
| 1477623734 | Mark Worden Richardson | Orthopaedic Surgery | 3333 N Calvert St Ste 400, Baltimore, MD 21218-6501 | 2006-11-08 |
| 1548219389 | Mark M Richardson | Family Medicine | 4378 W Holt Rd, Holt, MI 48842-1666 | 2006-05-09 |
| 1134627490 | Mark Gordon Richardson | Pharmacist | 720 Main St, Clinton, MA 01510-2430 | 2018-01-31 |
| 1538529821 | Mark Richardson | Psychologist | 1301 E 12th St, Wilmington, DE 19802-5315 | 2016-02-29 |
| 1215305933 | Mark Richardson | Nurse Practitioner | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-09-11 |
| 1104216076 | Mark Richardson | Physical Therapy Assistant | 333 Tamiami Trl S, Venice, FL 34285-2402 | 2015-01-30 |
| 1639369143 | Mark D. Richardson | Registered Nurse | 4351 S A St, Richmond, IN 47374-6052 | 2007-07-31 |
| 1033214457 | Mark R Richardson | Optometrist | 23561 Highway 59, Porter, TX 77365-4991 | 2006-09-13 |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| 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 |
|---|---|---|---|---|
| 1992303051 | Nerlande Therlonge | Social Worker | 48 Bragaw Ave # 1, Newark, NJ 07112-1546 | 2020-10-12 |
| 1073121448 | Heart Matters LLC | Social Worker | 1018 N Barrett Ln, Newark, DE 19702-6912 | 2020-07-21 |
| 1851919229 | Jennifer Kristina Boyer | Social Worker | 12 Columbia Ave, Newark, NJ 07106-2102 | 2020-07-11 |
| 1609492131 | Jasmin Collazo | Social Worker | 555 Mount Prospect Ave Apt 12e, Newark, NJ 07104-1538 | 2020-06-20 |
| 1306479357 | Anne Louise Fordham | Social Worker | 1159 E Union St Apt 1, Newark, NY 14513-9201 | 2020-02-18 |
| 1528600392 | Sonia Mulero | Social Worker | 140 Bergen St Rm F-1772, Newark, NJ 07103-2425 | 2019-10-14 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1043868417 | Scott B Barnthouse Crc LLC | Social Worker | 419 Creek Bend Dr, Newark, DE 19711-3765 | 2019-08-29 |
| 1174176945 | The Winn-win Solution, LLC. | Social Worker | 262 Chapman Rd Ste 103, Newark, DE 19702-5418 | 2019-07-22 |
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
| Find all providers in NEWARK | ||||
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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.