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NPI · 1790813509 · NPPES-sourced

Mr. Mark Sullivan Licsw

ActiveClinical Social Worker
NPI Number
1790813509
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(508) 584-5190
License MA · 1020933
Last Updated
Enumerated
Primary practice addressMA · 02301-4800
111 Torrey StBrockton, MA 02301-4800
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About this NPIWhat this record shows.

NPI 1790813509 is registered to Mr. Mark Sullivan Licsw, a Clinical Social Worker practising at 111 Torrey St in Brockton, Massachusetts. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Mark Sullivan Licsw has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Mark Sullivan Licsw accepts. To confirm in-network status with your specific health plan, contact Mr. Mark Sullivan Licsw directly at (508) 584-5190.

Frequently asked

Yes. NPI 1790813509 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (508) 584-5190.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Mark Sullivan Licsw is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Clinical Social Worker providers in Massachusetts.

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