Modoski, Mark E

Modoski, Mark E is an individual health care provider with primary practice located at 2700 Willow Oak Dr Apt 112 , Cambridge MD 21613-3539. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Modoski, Mark E can be contacted via phone (443) 521-9525.

Contact Information

Primary practice address
2700 Willow Oak Dr Apt 112 Cambridge MD 21613-3539
Phone: (443) 521-9525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00298800 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 27003 Maryland

Profile Details

NPI number 1376126763
LBN Legal business name Modoski, Mark E
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers