Mr. Mark R Gallagher, LICSW
Social Worker, Clinical in Everett, Massachusetts
1134280423- Practice location
- 173 Chelsea St, Tri City Mental Health Center, Everett, MA 02149
- Phone
- 781-388-6224
- Fax
- 617-387-9768
- Last updated
- July 8, 2007
Mark Richard Gallagher is a Social Worker, Clinical based in Everett, MA. Mark Richard Gallagher practices in Everett, MA and has the professional credentials of LICSW. The NPI Number for Mark Richard Gallagher is 1134280423 and holds a License No. 1026018 (MA). The current practice location address for Mark Richard Gallagher is 173 Chelsea St, Tri City Mental Health Center, Everett, MA 02149 and can be reached out via phone at 781-388-6224 and via fax at 617-387-9768.
Provider Profile Details
- NPI Number
- 1134280423
- Provider Name
- Mark Richard Gallagher
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 173 Chelsea St, Tri City Mental Health Center, Everett, MA 02149
- Phone Number
- 781-388-6224
- Fax Number
- 617-387-9768
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 12, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 173 Chelsea St
Tri City Mental Health Center
Everett, MA 02149 - City
- Everett
- State
- Massachusetts
- Zip
- 02149
- Phone Number
- 781-388-6224
- Fax Number
- 617-387-9768
Provider Business Mailing Address Details
- Address
- 45 Spencer Ave
Somerville, MA 02144-2611 - City
- Somerville
- State
- MA
- Zip
- 02144-2611
- Phone Number
- 617-623-5397
License Information
- License Number
- 1026018
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Everett, MA
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Frequently Asked Questions
What is the NPI number of Mr. Mark R Gallagher, LICSW?
The NPI number of Mr. Mark R Gallagher, LICSW is 1134280423. It was assigned on December 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark R Gallagher, LICSW?
Mr. Mark R Gallagher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026018.
Where does Mr. Mark R Gallagher, LICSW practice?
The practice location is 173 Chelsea St, Tri City Mental Health Center, Everett, MA 02149. The office can be reached at 781-388-6224 (phone) or 617-387-9768 (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 1134280423 directly on the NPPES registry website.