National Provider Identifier

Mark Andrew Head, LCSW, CASAC

Mark Andrew Head, LCSW, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 507-2871.

NPI 1558486894Rochester, NYClinical Social Worker

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1558486894
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007

Practice Location

  • 877 Elmwood Ave
  • Rochester, NY 14620-2933

Phone: (585) 507-2871

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1558486894
Entity Type
Individual
Last Name
Head
First Name
Mark
Middle Name
Andrew
Name Prefix
Mr.
Credential
LCSW, CASAC
Provider Other Last Name
Head
Provider Other First Name
Mark
Provider Other Middle Name
Andrew
Provider Other Credential Text
LCSW, CASAC
Provider Other Last Name Type Code
2
Mailing Street Address
877 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-2933
Mailing Country
US
Mailing Phone
(585) 507-2871
Mailing Fax
(585) 442-5032
Practice Street Address
877 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2933
Practice Country
US
Practice Phone
(585) 507-2871
Practice Fax
(585) 442-5032
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
RO28217 (NY, Clinical Social Worker)