Individual provider · Type 1 NPI

Mark Harrison Wade, LPC CSAC

Clinical Social Worker · Big Stone Gap, VA

NPI number 1104964097 Active

Practice location

3169 2nd Ave E
Big Stone Gap, VA 24219

Call (276) 523-8300 Map

Fax (276) 523-6964

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X0701003573 (VA)
Clinical Social Worker Primary 1041C0700X0710102025 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104964097

Mark Harrison Wade, LPC CSAC's National Provider Identifier is 1104964097, issued on Feb 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Big Stone Gap, VA. The record was last updated on Sep 11, 2025.