MARK ZACZKOWSKI MOORHEAD MSW, LICSW - NPI 1215318811 - Social Worker in Minneapolis, MN

Q: What is Mark Zaczkowski Moorhead's NPI number?

The NPI number for Mark Zaczkowski Moorhead is 1215318811. It was assigned to this individual provider in the NPPES registry on June 9, 2015. The provider is also known as Mark Zaczkowski Msw, Licsw.

Q: What is Mark Zaczkowski Moorhead's specialty?

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

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About Mark Zaczkowski Moorhead Msw, Licsw NPPES

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

MARK ZACZKOWSKI MOORHEAD MSW, LICSW (NPI 1215318811) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (22176) and active in the NPI registry since June 2015. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1215318811

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMARK ZACZKOWSKI MOORHEADCredential: MSW, LICSW

Location Address2400 BLAISDELL AVEMinneapolis, MN 55404

Mailing Address2400 Blaisdell AveMinneapolis, MN 55404-3331 · (612) 444-6090

Phone(612) 444-6090

Sole ProprietorNo

Enumeration DateJune 9, 2015

Last NPPES UpdateNovember 20, 2019

✔ NPI 1215318811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 22176

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.

2400 BLAISDELL AVE, Minneapolis, MN 55404

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Other Names 1

Former Name (1)Mark Zaczkowski Msw, Licsw

Secondary Practice Location 1

Location 13333 University Ave SEMinneapolis, MN 55414-3325 · Phone (612) 728-5399 ext. 5483 · Fax (612) 728-5301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 6

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

SUMAYA MOHAMED

Behavior Technician