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MARK DEYAB LICSW INC
NPI 1750715108
Social Worker - Clinical in Melrose, MA

Active since August 21, 2013
1 W FOSTER ST, 3RD FLOOR, MELROSE, MA 02176(781) 799-3949(781) 665-0027 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Deyab Licsw Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK DEYAB LICSW INC (NPI 1750715108) is a healthcare organization registered as a clinical in Melrose, Massachusetts and active in the NPI registry since August 2013. The organization lists Mark Deyab, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1750715108
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARK DEYAB LICSW INC
Location Address1 W FOSTER ST, 3RD FLOORMelrose, MA 02176-3847
Mailing Address34 Wareham St, Apt. 1Medford, MA 02155-6222 · (781) 799-3949 · Fax (781) 665-0027
Phone(781) 799-3949
Fax(781) 665-0027
Organization SubpartNo
Authorized OfficialMark DeyabPsychotherapist · (781) 799-3949
Enumeration DateAugust 21, 2013
✔ NPI 1750715108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 111824
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 W FOSTER ST, Melrose, MA 02176
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Other Identifiers 2

Medicare UPINP23588-05MA
Other1104907732MA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Deyab Licsw Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark Deyab Licsw Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Deyab, LICSW
Clinical Social Worker
NPI 1104907732
20 HOPE AVE G-05
Waltham, MA 02453
(781) 799-3949
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Deyab Licsw Inc's NPI number?

The NPI number for Mark Deyab Licsw Inc is 1750715108. It was assigned to this organization in the NPPES registry on August 21, 2013.

Where is Mark Deyab Licsw Inc located?

Mark Deyab Licsw Inc is located at 1 W Foster St 3rd Floor, Melrose, MA 02176. The listed phone number is (781) 799-3949.

What is Mark Deyab Licsw Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mark Deyab Licsw Inc enrolled in Medicare?

Yes. Mark Deyab Licsw Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark Deyab Licsw Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mark Deyab Licsw Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark Deyab Licsw Inc was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.