Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184083206 Individual Practitioner Male Practitioner

Mark Tack , LMSW, ADC

Social Worker • Fort Riley, KS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mark Tack, LMSW, ADC is a registered healthcare professional specializing in Social Worker in Fort Riley, KS. Official NPI practice address is registered at 7424 APENNINES DR.

Practice Location & Contact Primary Location

Practice Address

7424 Apennines Dr
Army Substance Abuse Program (Asap)

Fort Riley, KS 664427151

Telephone 7852390662

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Riley, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
38 Specialists

Practicing in Fort Riley, KS (2633 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License FL ISW 8702

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License KS 9430

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Master Social Worker
9430 (KS)
Commercial Insurance / Payer ID Registered Clinical Social Worker Intern
ISW 8702 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2016

Registered at 7424 APENNINES DR, ARMY SUBSTANCE ABUSE PROGRAM (ASAP), FORT RILEY, KS 664427151 (Tel: 7852390662)

📍
Updated Business Mailing Address February 17, 2016

Registered at 7424 APENNINES DR, ARMY SUBSTANCE ABUSE PROGRAM (ASAP), FORT RILEY, KS 664427151 (Tel: 7852390662)

👤
Provider Name / Credentials Updated February 17, 2016

Recorded as MARK TACK, LMSW, ADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Social Worker (License #ISW 8702 in FL)

🟢
Initial NPI Registration & Enumeration February 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184083206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2016
Last Update: February 17, 2016
Sole Proprietor: No

Mailing Address

7424 Apennines Dr, Army Substance Abuse Program (Asap)

Fort Riley, KS 664427151

Phone: 7852390662

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.