NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARK L DUKE, LCSW
132 SOUTH STATE
SUITE 200
SALT LAKE CITY, UT84111-1506
 Phone: 801-240-3556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARK L DUKE · (Male)

NPI # 1003035429
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/24/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 369885-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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