Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Mark Harrison Wade, LPC CSAC

Clinical Social Worker in Big Stone Gap, VA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104964097

Verified

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Registry record

Entity type Individual (Type 1)

Name Mr. Mark Harrison Wade

Credential LPC CSAC

Sex Male

Practice address 3169 2nd Ave E, Big Stone Gap, VA, 24219

Phone (276) 523-8300

Fax (276) 523-6964

Enumeration date Feb 2, 2007

Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 0701003573 (VA) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 0710102025 (VA) Primary

Other identifiers

Identifier	Type	State	Issuer
0101499914	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104964097 active?

Yes, as of the latest NPPES snapshot, NPI 1104964097 is active (record last updated 2025-09-11).

How do I verify Mark Wade's NPI record?

Cross-check NPI 1104964097 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.