Mr Mark Andrew Sullivan, LICSW - Clinical Social Worker in Brockton, MA

Mr Mark Andrew Sullivan, LICSW is a Social Worker - Clinical based in Brockton, Massachusetts. Mr Mark Andrew Sullivan is licensed to practice in Massachusetts (license number 1020933) and his current practice location is 111 Torrey St, Brockton, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (508) 584-5190.

NPI number for Mr Mark Andrew Sullivan is 1790813509 and his current mailing address is 179 Depot St, South Easton, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790813509.

Contact Information

Mr Mark Andrew Sullivan, LICSW
111 Torrey St,
Brockton, MA 02301-4800
(508) 584-5190
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Andrew Sullivan
GenderMale
SpecialitySocial Worker - Clinical
Location111 Torrey St, Brockton, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790813509
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Mark Andrew Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790813509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1020933 (Massachusetts)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. Mr Mark Andrew Sullivan 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
Mr Mark Andrew Sullivan, LICSW
179 Depot St,
South Easton, MA 02375

Ph: () -
Mr Mark Andrew Sullivan, LICSW
111 Torrey St,
Brockton, MA 02301-4800

Ph: (508) 584-5190

Reviews and Comments


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