Mark Sandberg, is a
Social Worker - Clinical based in Viroqua, Wisconsin. Mark Sandberg is licensed to practice in Wisconsin (license number 9208-123) and his current practice location is
118 E Jefferson St, Viroqua, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 632-3286.
NPI number for Mark Sandberg is 1316486731 and his current mailing address is Po Box 11, Viroqua, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316486731.
Healthcare Provider's Profile
| Full Name | Mark Sandberg |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 118 E Jefferson St, Viroqua, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316486731
- Provider Enumeration Date: 02/17/2017
- Last Update Date: 02/13/2020
Medical Identifiers
Medical identifiers for Mark Sandberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316486731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9208-123 (Wisconsin) | 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. Mark Sandberg 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 |
|---|
Mark Sandberg,
Po Box 11,
Viroqua, WI 54665-0011
Ph: (608) 632-3286 | Mark Sandberg,
118 E Jefferson St,
Viroqua, WI 54665-1613
Ph: (608) 632-3286 |
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