MR. MARK HARRISON WADE LPC CSAC
NPI 1104964097
Social Worker - Clinical in Big Stone Gap, VA

Active since February 02, 2007
3169 2ND AVE E, BIG STONE GAP, VA 24219(276) 523-8300(276) 523-6964 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Harrison Wade Lpc Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK HARRISON WADE LPC CSAC (NPI 1104964097) is an individual clinical provider in Big Stone Gap, Virginia, licensed in Virginia (0710102025) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104964097
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK HARRISON WADECredential: LPC CSAC
Location Address3169 2ND AVE EBig Stone Gap, VA 24219
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3696
Fax(276) 523-6964
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1104964097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0710102025
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701003573 (VA)
3169 2ND AVE E, Big Stone Gap, VA 24219

Other Identifiers 1

Medicaid0101499914VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
3169 2ND AVE E
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVE E
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVE E
BIG STONE GAP, VA 24219
Counselor (Professional)
3169 2ND AVE E
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVE E
BIG STONE GAP, VA 24219
Social Worker (Clinical)
3169 2ND AVE E
BIG STONE GAP, VA 24219
Social Worker (Clinical)
3169 2ND AVE E
BIG STONE GAP, VA 24219
Counselor (Professional)
3169 2ND AVE E
BIG STONE GAP, VA 24219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wade's NPI number?

The NPI number for Mark Wade is 1104964097. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Mark Wade located?

Mark Wade practices at 3169 2nd Ave E, Big Stone Gap, VA 24219. The listed phone number is (276) 523-8300.

What is Mark Wade's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mark Wade was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.