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

Mark Blaine Cantales, LCSWR

Individual provider Clinical Social Worker · NPI 1922162643

Mark Blaine Cantales, LCSWR is a Clinical Social Worker in Endicott, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006

Practice location Address checks out

217 Jefferson Ave
Endicott, NY 13760-5244
Phone: (607) 372-1020
Fax: (607) 239-5328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 069788-1 (NY)

Record details

NPI number1922162643
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWR
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Endicott