CAROLINE MARKS (MSW) – Counselor, NPI 1417640616

CAROLINE MARKS (MSW) is a healthcare provider. based in New smyrna beach, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. ISW6921 (FL). The NPI Number for CAROLINE MARKS (MSW) is 1417640616

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE MARKS (MSW)
NPI
1417640616
Phone
(321) 239-4124
Address
2519 BROOKLINE AVE
Enumeration Date
1 June 2023
Last Update Date
1 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212394124
Graduation Year
2009 (17 years ago)
PAC ID
7315383676
Group Practice PAC ID
4486192648
Professional Enrollment ID
I20240308000657
Address ID
FL321141214DA728XXBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for CAROLINE MARKS (MSW)

  • 2519 BROOKLINE AVE

    NEW SMYRNA BEACH, FL 321685814

    Phone: (321) 239-4124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240308000657IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32168)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486192648View full group profile
NameSpecialtyState
Mental Health CounselorFL

Reviews

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Frequently asked questions

How do payers reference CAROLINE MARKS (MSW)?
For CAROLINE MARKS (MSW), use NPI 1417640616 as the unique 10-digit identifier.
Is there an active status for CAROLINE MARKS (MSW)?
For scheduling context, CAROLINE MARKS (MSW) is shown as active in the registry.
What clinical focus is listed for CAROLINE MARKS (MSW)?
At a glance, CAROLINE MARKS (MSW) is tied to Counselor. Clinical services aligned with this taxonomy classification.
Where in Florida is CAROLINE MARKS (MSW) registered?
Use New Smyrna Beach, Florida as the headline location for CAROLINE MARKS (MSW) here.
When was this NPI issued?
Enumeration for CAROLINE MARKS (MSW) is noted as June 1, 2023 where the registry provides it.

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