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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK DAVID DAVIS, LSW

Active Sole Proprietor

MR. MARK DAVID DAVIS, LSW is a Social Worker healthcare provider located in MOKENA, Illinois. NPI 1699114082 is currently active in the NPPES registry. Verify at CMS.

Social Worker · MOKENA, IL

Registration Details

NPI Number
1699114082
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2013 (13.148568769998 yrs)
Last Updated
Jul 1, 2025
Licenses
D12054490233 (IL)
2536151 (IL)
150.116888 (IL)
Sole Proprietor
Yes

Practice Information

Address
19201 S LA GRANGE RD STE 204
MOKENA, IL, 604488014
Browse IL providers · Browse ZIP 60448
Phone
7082870816
Primary Specialty
Social Worker
104100000X
Additional Specialty
School Social Worker
Additional Specialty
Social Worker

Other Social Worker Providers in MOKENA, IL

Name Credential NPI
MRS. LINDA J FLIGHT LSW 1023128469
KAITLYN BLACKBURN LSW 1508516097
MR. KAMAL KHAMIS SUMREIN LSW, MSW 1689494726
LEAH JAMES 1255134177
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.