Mark Harrison Wade, LPC CSAC
NPI 1104964097ActiveIndividual· Social Worker, Clinical· Big Stone Gap, VA
Social Worker, Clinical (LPC CSAC) in Big Stone Gap, Virginia, licensed in VA, with an NPI issued in February 2007.
Overview
| NPI | 1104964097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC CSAC |
| Sole proprietor | No |
| NPI issued | Feb 2, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0710102025 | VA |
| Counselor, Professional | 101YP2500X | 0701003573 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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