Kelisha Mark
NPI 1912667692 · Social Worker · New York, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelisha Mark is a Social Worker provider in New York, NY (NPI 1912667692).
Provider details
- NPI number
- 1912667692
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 100364 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-12-22
- Last updated
- 2021-12-22
- Certified
- 2021-09-04
Frequently asked questions
- What is Kelisha Mark's NPI number?
- Kelisha Mark's National Provider Identifier (NPI) is 1912667692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelisha Mark's specialty?
- Kelisha Mark is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelisha Mark located?
- Kelisha Mark's practice location on file with NPPES is 77 Water St, New York, NY 10005-4401.
- What is Kelisha Mark's phone number?
- The practice phone number listed in the NPPES registry for Kelisha Mark is (347) 440-5869.
- Does Kelisha Mark accept Medicare?
- Kelisha Mark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelisha Mark's NPI active?
- Yes — Kelisha Mark's NPI (1912667692) is active in the NPPES registry as of the last update on 2021-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.