MR. MARK DAVID DAVIS LSW NPI 1699114082

NPI Information

  • NPI: 1699114082
  • Provider Name: MR. MARK DAVID DAVIS, LSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 19201 S LA GRANGE RD STE 204
    MOKENA, IL
    ZIP 60448
  • Phone: (708) 287-0816

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NPI Details

MR. Mark David Davis, LSW is a social worker in Mokena, IL. The provider is 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. MR. Mark David Davis, LSW NPI is 1699114082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19201 S LA GRANGE RD STE 204
MOKENA, IL
ZIP 60448-014
Phone: (708) 287-0816

The enumeration date for this NPI number is 6/18/2013 and was last updated on 7/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystD12054490233ILLINOISNo
21041S0200XSocial WorkerSchool2536151ILLINOISNo
3104100000XSocial Worker150.116888ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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