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

Mark Nowaczewski

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417313115

Mark Nowaczewski is a Clinical Social Worker in Vassar, Michigan. Qualified in 2020, 6 years ago. Practices with Lakeside Professional Counseling PC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2016

Practice location Address checks out

150 Enterprise Dr
Vassar, MI 48768-9584
Phone: (989) 823-0183
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1417313115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 11, 2016
Last updated in NPPESJanuary 11, 2016
Mailing address150 Enterprise Dr, Vassar, MI 48768-9584

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lakeside Professional Counseling Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vassar