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Mark David Davis , LSW

Social Worker β€’ Mokena, IL

Active NPI 1699114082 Individual Practitioner Male Practitioner
Practice location in NPPES

19201 S La Grange Rd Ste 204
Mokena, IL 604488014

Call 7082870816 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19201 S La Grange Rd Ste 204

Mokena, IL 604488014

Telephone 7082870816
Organization at the Same NPPES Address or Phone
Pathway Professional Counseling & Coaching Llc Facility NPI 1861387318

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mokena and Illinois

5 active clinicians are listed under Social Worker with a practice address in Mokena, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IL 150.116888

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL D12054490233

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - School

NUCC Taxonomy Code: 1041S0200X

License # reported to NPPES IL 2536151
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 01, 2025

Registered at 19201 S LA GRANGE RD STE 204, MOKENA, IL 604488014 (Tel: 7082870816)

πŸ“
Updated Business Mailing Address July 01, 2025

Registered at 17500 CLOVERVIEW DR, TINLEY PARK, IL 604776587 (Tel: 7082746126)

πŸ‘€
Provider Name / Credentials Updated July 01, 2025

Recorded as MARK DAVIS, LSW

βœ…
NPI Profile Active June 18, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2013

Registered at 12420 S RIDGELAND AVE, PALOS HEIGHTS, IL 604631858 (Tel: 7082870816)

πŸ“
Business Mailing Address (Initial Record) June 18, 2013

Registered at 12420 S RIDGELAND AVE, PALOS HEIGHTS, IL 604631858 (Tel: 7082870816)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2013

Recorded as MARK DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Behavior Analyst (license number reported to NPPES: IL D12054490233)

🟒
Initial NPI Registration & Enumeration June 18, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699114082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2013
Last Update: July 01, 2025
Sole Proprietor: Yes

Mailing Address

17500 Cloverview Dr

Tinley Park, IL 604776587

Phone: 7082746126

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.