Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK MIXDORF, ICSW
ActiveMARK MIXDORF, ICSW is a Clinical Social Worker healthcare provider located in WAUSAU, Wisconsin. NPI 1659387603 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WAUSAU, WI
Registration Details
- NPI Number
- 1659387603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.00141494213 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2541-123 (WI)
Practice Information
- Address
-
1100 LAKE VIEW DRWAUSAU, WI, 544036785Browse WI providers · Browse ZIP 54403
- Phone
- 7158484600
- Fax
- 7158455398
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL LEE KOHN | LCSW, CADC III | 1811926579 |
| MRS. BARBARA MARY WEBSTER | MS, LCSW | 1609805399 |
| MS. ERIN ELIZABETH MORGAN | MS. LCSW | 1659300341 |
| MR. EDMUND LEE WEBSTER | MSW, LCSW | 1376576231 |
| KAREN M LOKA | ICSW | 1033138805 |
| MELISSA R SKRZYPCHAK | SOCIAL WORKER | 1851315436 |
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.