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MR. MARK A. PREMSELAAR MSW, LCSW
NPI 1518979889
Social Worker - Clinical in Henderson, NV

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
780 CORONADO CENTER DR, SUITE 110-A, HENDERSON, NV 89052(702) 358-0464(702) 506-0098 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark A. Premselaar Msw, Lcsw NPPES

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

MR. MARK A. PREMSELAAR MSW, LCSW (NPI 1518979889) is an individual clinical provider in Henderson, Nevada, licensed in Nevada (5782-C) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1518979889
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK A. PREMSELAARCredential: MSW, LCSW
Location Address780 CORONADO CENTER DR, SUITE 110-AHenderson, NV 89052-5040
Mailing Address780 Coronado Center Drive, Suite 110-aHenderson, NV 89052-5056 · (702) 358-0464 · Fax (702) 506-0098
Phone(702) 358-0464
Fax(702) 506-0098
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 13, 2006
Last NPPES UpdateOctober 7, 2010
✔ NPI 1518979889 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 NV · 5782-C
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.
780 CORONADO CENTER DR, Henderson, NV 89052
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Other Identifiers 1

Medicare PIN106434LTDPA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark A. Premselaar Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698773422
PECOS Enrollment IDI20110301001026
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JORDANICA INC
Social Worker (Clinical)
780 CORONADO CENTER DR, SUITE 110A
HENDERSON, NV 89052
Clark County (702) 358-0464
GEM PERSONAL CARE L.L.C.
In Home Supportive Care
780 CORONADO CENTER DR
HENDERSON, NV 89052
Clark County (702) 875-1237

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 Premselaar's NPI number?

The NPI number for Mark Premselaar is 1518979889. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Mark Premselaar located?

Mark Premselaar practices at 780 Coronado Center Dr Suite 110-A, Henderson, NV 89052. The listed phone number is (702) 358-0464.

What is Mark Premselaar's specialty?

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

Is Mark Premselaar enrolled in Medicare?

Yes. Mark Premselaar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Premselaar was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.