Provider Demographics
NPI:1386991784
Name:HOWELL, MARK (LCSW)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 5TH AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8858
Mailing Address - Country:US
Mailing Address - Phone:212-253-4971
Mailing Address - Fax:646-329-9721
Practice Address - Street 1:24 5TH AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8858
Practice Address - Country:US
Practice Address - Phone:212-253-4971
Practice Address - Fax:646-329-9721
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0592471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical