Mark Vincent Sundstrom, MS,LICSW - Clinical Social Worker in Fayetteville, WV

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Mark Vincent Sundstrom, MS,LICSW is a Social Worker - Clinical based in Fayetteville, West Virginia. Mark Vincent Sundstrom is licensed to practice in West Virginia (license number DP00450472) and his current practice location is 209 W Maple Ave, Fayetteville, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 574-2100.

NPI number for Mark Vincent Sundstrom is 1548473903 and his current mailing address is 209 W Maple Ave, Fayetteville, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548473903.

Contact Information

Mark Vincent Sundstrom, MS,LICSW
209 W Maple Ave,
Fayetteville, WV 25840-1413
(304) 574-2100
(304) 574-2151

Map and Direction




Healthcare Provider's Profile

Full NameMark Vincent Sundstrom
GenderMale
SpecialitySocial Worker - Clinical
Location209 W Maple Ave, Fayetteville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548473903
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mark Vincent Sundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548473903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical DP00450472 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Vincent Sundstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Vincent Sundstrom, MS,LICSW
209 W Maple Ave,
Fayetteville, WV 25840-1413

Ph: (304) 574-2100		Mark Vincent Sundstrom, MS,LICSW
209 W Maple Ave,
Fayetteville, WV 25840-1413

Ph: (304) 574-2100

Reviews and Comments


Social Worker in Fayetteville, WV

Heather Renee Collins, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 209 W Maple Ave, Fayetteville, WV 25840
Phone: 304-574-2100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.