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

Mr. Mark Duane Pruitt, LCSW

Individual provider Social Worker · NPI 1538273743

Mr. Mark Duane Pruitt, LCSW is a Clinical Social Worker in Ypsilanti, Michigan. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana, Kentucky and Michigan.

Years since qualifying
34
Licensed in
IN, KY, MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

904 Hawthorne Ave
Ypsilanti, MI 48198-5812
Phone: (734) 431-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801115195 (MI)
Social Worker Taxonomy 104100000X · Licence 1187 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34003875A (IN)

Record details

NPI number1538273743
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 18, 2006
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ypsilanti