Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK TACK, LMSW, ADC
ActiveMR. MARK TACK, LMSW, ADC is a Social Worker healthcare provider located in FORT RILEY, Kansas. NPI 1184083206 is currently active in the NPPES registry. Verify at CMS.
Social Worker · FORT RILEY, KS
Registration Details
- NPI Number
- 1184083206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2016 (10.443645973867 yrs)
- Last Updated
- Feb 17, 2016
- Licenses
-
9430 (KS)ISW 8702 (FL)
Practice Information
- Address
-
7424 APENNINES DRARMY SUBSTANCE ABUSE PROGRAM (ASAP)FORT RILEY, KS, 664427151Browse KS providers · Browse ZIP 66442
- Phone
- 7852390662
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in FORT RILEY, KS
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE STEPHEN OGAN | LMSW | 1063436376 |
| MRS. CYRENA KAROL MATHEWS | LCSW | 1669556106 |
| SHARON L STONE | LMSW | 1821129719 |
| WENDY SUE HAMPTON | LCSW | 1043344468 |
| KENNETH R ROSENBLATT | M.A., L.C.S.W. | 1720295439 |
| JENNIFER ELAINE WADESON | LSCSW | 1497950364 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.