Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelisha Mark

Individual provider Social Worker · NPI 1912667692

Kelisha Mark is a Clinical Social Worker in New York, New York. Qualified in 2008, 18 years ago. Practices with Integrity Social Work Services LLC, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

77 Water St
New York, NY 10005-4401
Phone: (347) 440-5869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 100364 (NY)

Record details

NPI number1912667692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESDecember 22, 2021
Certification dateSeptember 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Integrity Social Work Services Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Integrity Social Work Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 74 clinicians in the practice; 12 are shown here.

Other providers in New York