MR. MARK ANDREW SULLIVAN LICSW
NPI 1790813509
Social Worker - Clinical in Brockton, MA

Active since March 01, 2007
111 TORREY ST, BROCKTON, MA 02301(508) 584-5190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Andrew Sullivan Licsw NPPES

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

MR. MARK ANDREW SULLIVAN LICSW (NPI 1790813509) is an individual clinical provider in Brockton, Massachusetts, licensed in Massachusetts (1020933) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790813509
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK ANDREW SULLIVANCredential: LICSW
Location Address111 TORREY STBrockton, MA 02301-4800
Mailing Address179 Depot StSouth Easton, MA 02375
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1790813509 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 · 1020933
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.
111 TORREY ST, Brockton, MA 02301

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
111 TORREY ST
BROCKTON, MA 02301
Dentist (General Practice)
111 TORREY ST
BROCKTON, MA 02301
Counselor (Addiction (Substance Use Disorder))
111 TORREY ST, SUITE 3
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
111 TORREY ST, #3
BROCKTON, MA 02301
Nurse Practitioner (Family)
111 TORREY ST
BROCKTON, MA 02301
Counselor
111 TORREY ST
BROCKTON, MA 02301
Family Medicine
111 TORREY ST
BROCKTON, MA 02301
Family Medicine
111 TORREY ST
BROCKTON, MA 02301

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 Sullivan's NPI number?

The NPI number for Mark Sullivan is 1790813509. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mark Sullivan located?

Mark Sullivan practices at 111 Torrey St, Brockton, MA 02301. The listed phone number is (508) 584-5190.

What is Mark Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.