Provider Demographics
NPI:1275231896
Name:MCALPIN, MARK (MSW)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:MCALPIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 HILLSBORO MILE APT 43
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-2145
Mailing Address - Country:US
Mailing Address - Phone:903-245-0493
Mailing Address - Fax:
Practice Address - Street 1:1035 HILLSBORO MILE APT 43
Practice Address - Street 2:
Practice Address - City:HILLSBORO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-2145
Practice Address - Country:US
Practice Address - Phone:903-245-0493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW16177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional