Provider Demographics
NPI:1740382407
Name:GAINEY, MARK ANDREW (LCSW)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ANDREW
Last Name:GAINEY
Suffix:
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:ST PETERSBURG BEHAVIORAL HEALTH CENTER
Mailing Address - Street 2:3551 42ND AVE S STE B107
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4369
Mailing Address - Country:US
Mailing Address - Phone:727-895-8498
Mailing Address - Fax:727-895-8497
Practice Address - Street 1:ST PETERSBURG BEHAVIORAL HEALTH CENTER
Practice Address - Street 2:3551 42ND AVE S STE B107
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4369
Practice Address - Country:US
Practice Address - Phone:727-895-8498
Practice Address - Fax:727-895-8497
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2025-01-31
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Provider Licenses
StateLicense IDTaxonomies
FLSW2998104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z5259AMedicare UPIN
K4526Medicare ID - Type UnspecifiedGROUP PROVIDER NBR PART B