Provider Demographics
NPI:1235620295
Name:NAPOLITANO, MARK (LCPC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:NAPOLITANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3815 JUNIPER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1828
Mailing Address - Country:US
Mailing Address - Phone:410-227-6931
Mailing Address - Fax:
Practice Address - Street 1:5901 FALLS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3725
Practice Address - Country:US
Practice Address - Phone:410-227-6931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC59553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional