What is Mark Mixdorf's NPI number?

Mark Mixdorf's National Provider Identifier (NPI) is 1659387603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Mixdorf's specialty?

Mark Mixdorf is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Mark Mixdorf located?

Mark Mixdorf's practice location on file with NPPES is 1100 Lake View Dr, Wausau, WI 54403-6785.

What is Mark Mixdorf's phone number?

The practice phone number listed in the NPPES registry for Mark Mixdorf is (715) 848-4600.

Is Mark Mixdorf's NPI active?

Yes — Mark Mixdorf's NPI (1659387603) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Mixdorf, ICSW

NPI 1659387603 · Clinical Social Worker · Wausau, WI

Mark Mixdorf, ICSW is a Clinical Social Worker provider in Wausau, WI (NPI 1659387603).

Provider details

NPI number: 1659387603
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: ICSW
Sex: Male
Sole proprietor: No
License: 2541-123 (WI)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 2541-123 (WI)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1100 Lake View Dr

Wausau, WI 54403-6785

Phone: (715) 848-4600

Fax: (715) 845-5398

Street-level locationGet directions

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Mailing address