1. Home
  2. Directory
  3. Wisconsin
  4. Wausau
  5. Social Worker
  6. NPI Profile

MARK MIXDORF ICSW
NPI 1659387603
Social Worker - Clinical in Wausau, WI

Active since July 31, 2006
1100 LAKE VIEW DR, WAUSAU, WI 54403(715) 848-4600(715) 845-5398 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Mixdorf Icsw NPPES

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

MARK MIXDORF ICSW (NPI 1659387603) is an individual clinical provider in Wausau, Wisconsin, licensed in Wisconsin (2541-123) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1659387603
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK MIXDORFCredential: ICSW
Location Address1100 LAKE VIEW DRWausau, WI 54403-6785
Mailing Address1100 Lake View DrWausau, WI 54403-6785 · (715) 848-4600 · Fax (715) 845-5398
Phone(715) 848-4600
Fax(715) 845-5398
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659387603 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 WI · 2541-123
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.
1100 LAKE VIEW DR, Wausau, WI 54403
Open in Google Maps ↗

Other Identifiers 1

Medicaid39661600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Providence Health Plan.Insurance ›

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.

KAREN SLATTERY CSAC
Counselor (Addiction (Substance Use Disorder))
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600
SIERRA L SMITH CMA
Nurse's Aide
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600
KIMBERLY A HALAMA PT
Physical Therapist
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 842-8548
JAMES HAHN
Counselor (Professional)
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600
JENNIFER HEARN LPC, SAC
Counselor (Professional)
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600
ALEXANDRA REISCHMAN MD
Student in an Organized Health Care Education/Training Program
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600
KAREN M LOKA ICSW
Social Worker (Clinical)
1100 LAKE VIEW DR, WAUSAU
WAUSAU, WI 54403
Marathon County (715) 848-4600
MAUREEN MACCONNELL APNP
Nurse Practitioner (Psychiatric/Mental Health)
1100 LAKE VIEW DR
WAUSAU, WI 54403
Marathon County (715) 848-4600

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 Mixdorf's NPI number?

The NPI number for Mark Mixdorf is 1659387603. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mark Mixdorf located?

Mark Mixdorf practices at 1100 Lake View Dr, Wausau, WI 54403. The listed phone number is (715) 848-4600.

What is Mark Mixdorf's specialty?

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

What insurance does Mark Mixdorf accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Providence Health Plan list Mark Mixdorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Mixdorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.