Mr Mark Anthony Shields Sr, MSW, LCSW, ACSW - Clinical Social Worker in Fairbanks, AK

Mr Mark Anthony Shields Sr, MSW, LCSW, ACSW is a Social Worker - Clinical based in Fairbanks, Alaska. Mr Mark Anthony Shields Sr is licensed to practice in Alaska (license number 402) and his current practice location is 3504 Industrial Ave, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 452-4673.

NPI number for Mr Mark Anthony Shields Sr is 1811086853 and his current mailing address is 3504 Industrial Ave, Po Box 70450, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811086853.

Contact Information

Mr Mark Anthony Shields Sr, MSW, LCSW, ACSW
3504 Industrial Ave,
Fairbanks, AK 99701-7376
(907) 452-4673
(907) 452-1430



Healthcare Provider's Profile

Full NameMr Mark Anthony Shields Sr
GenderMale
SpecialitySocial Worker - Clinical
Location3504 Industrial Ave, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811086853
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Mark Anthony Shields Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811086853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 402 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Anthony Shields Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Anthony Shields Sr, MSW, LCSW, ACSW
3504 Industrial Ave, Po Box 70450,
Fairbanks, AK 99701-7376

Ph: (907) 452-4673
Mr Mark Anthony Shields Sr, MSW, LCSW, ACSW
3504 Industrial Ave,
Fairbanks, AK 99701-7376

Ph: (907) 452-4673

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› Verified 6 days ago


Social Worker in Fairbanks, AK

Luvenia Johnson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 122 1st Ave, Fairbanks, AK 99701
Phone: 907-452-8251    Fax: 907-459-3939
Sheila Diane Smith, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1606 23rd Ave, Fairbanks, AK 99701
Phone: 907-455-4567    Fax: 907-458-1590
Larry Moen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3830 S Cushman St, Fairbanks, AK 99701
Phone: 907-455-1421    
Ms. Jessica Amy Goff, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 122 1st Ave Ste 400, Fairbanks, AK 99701
Phone: 907-452-8251    Fax: 907-459-3810
Ms. Deborah Lynn Allman-reynolds, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Bangs Way, Fairbanks, AK 99709
Phone: 907-978-4095    Fax: 000-000-0000
Mrs. Savannah Bush, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1423 Peger Rd, Fairbanks, AK 99709
Phone: 907-371-1300    
Ms. Siobhan Lynch, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 315 Wendell Ave, Fairbanks, AK 99701
Phone: 907-452-6251    Fax: 907-452-1001

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