Mr Mark T Hales, LICSW in Layton, UT - Social Worker

Mr Mark T Hales, LICSW is a Social Worker - Clinical based in Layton, Utah. Mr Mark T Hales is licensed to practice in Utah (license number 362016-3501) and his current practice location is 930 W Hill Field Rd Ste A, Layton, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 336-3040.

NPI number for Mr Mark T Hales is 1588716039 and his current mailing address is 930 W Hill Field Rd Ste A, Layton, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588716039.

Contact Information

	Mr Mark T Hales, LICSW
	930 W Hill Field Rd Ste A, Layton, UT 84041-4687
	(801) 336-3040
	(801) 336-3041

Healthcare Provider's Profile

Full Name	Mr Mark T Hales
Gender	Male
Speciality	Social Worker - Clinical
Location	930 W Hill Field Rd Ste A, Layton, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588716039
Provider Enumeration Date: 01/17/2007
Last Update Date: 09/03/2009

Medical Identifiers

Medical identifiers for Mr Mark T Hales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588716039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	17133 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	06455 (Iowa)	Secondary
1041C0700X	Social Worker - Clinical	3846 (North Dakota)	Secondary
1041C0700X	Social Worker - Clinical	2038 (South Dakota)	Secondary
1041C0700X	Social Worker - Clinical	362016-3501 (Utah)	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 T Hales 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 Address	Practice Location Address
Mr Mark T Hales, LICSW 930 W Hill Field Rd Ste A, Layton, UT 84041-4687 Ph: (801) 336-3040	Mr Mark T Hales, LICSW 930 W Hill Field Rd Ste A, Layton, UT 84041-4687 Ph: (801) 336-3040

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John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
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Mr Mark T Hales, LICSW - Clinical Social Worker in Layton, UT