Mark Siebert, LCSW
Social Worker, Clinical in Orem, UT. Individual provider (NPI-1).
NPI number1124445291
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1124445291
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Siebert
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2014
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5958473-3501 | UT | Yes |
Other names
- Mark Siebert (Professional Name)
Practice location
1458 E 820 NOrem, UT 84097
Phone 801-860-4780 · Fax 385-375-6087
Mailing address
1458 E 820 NOrem, UT 84097
Phone 801-860-4780 · Fax 385-375-6087
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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