Provider Demographics
NPI:1083828941
Name:MCNEAR, MARK M (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:M
Last Name:MCNEAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:07850-1060
Mailing Address - Country:US
Mailing Address - Phone:973-770-2659
Mailing Address - Fax:973-770-7258
Practice Address - Street 1:215 KINGS HWY
Practice Address - Street 2:
Practice Address - City:LANDING
Practice Address - State:NJ
Practice Address - Zip Code:07850-1060
Practice Address - Country:US
Practice Address - Phone:973-770-2659
Practice Address - Fax:973-770-7258
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJSC101471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical