Active NPIIndividual provider

Mark P Caron, LICSW

Social Worker, Clinical in Bourne, Massachusetts

NPI Number1073865077
Practice location
16 Waterhouse RD, Bourne, MA 02532-3897
Fax
774-302-4978
Last updated
October 6, 2016

Mark P Caron is a Social Worker, Clinical based in Bourne, MA. Mark P Caron practices in Bourne, MA and has the professional credentials of LICSW. The NPI Number for Mark P Caron is 1073865077. The current practice location address for Mark P Caron is 16 Waterhouse RD, Bourne, MA 02532-3897 and can be reached out via phone at 508-759-7279 and via fax at 774-302-4978.

Provider Profile Details

NPI Number
1073865077
Provider Name
Mark P Caron
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
16 Waterhouse RD, Bourne, MA 02532-3897
Phone Number
508-759-7279
Fax Number
774-302-4978
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2012
Last Update Date
October 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Waterhouse RD
Bourne, MA 02532-3897
City
Bourne
Zip
02532-3897
Phone Number
508-759-7279
Fax Number
774-302-4978
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
16 Waterhouse RD
Bourne, MA 02532-3897
City
Bourne
State
MA
Zip
02532-3897
Phone Number
508-759-7279
Fax Number
774-302-4978

License Information

Taxonomy (1)
Social Worker · 104100000X
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark P Caron, LICSW?

The NPI number of Mark P Caron, LICSW is 1073865077. It was assigned on October 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Mark P Caron, LICSW?

Mark P Caron, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mark P Caron, LICSW practice?

The practice location is 16 Waterhouse RD, Bourne, MA 02532-3897. The office can be reached at 508-759-7279 (phone) or 774-302-4978 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073865077 directly on the NPPES registry website.

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