Active NPIIndividual provider

Mr. Mark T Sullivan, LCSW

Social Worker, Clinical in Asbury Park, New Jersey

NPI Number1356456297
Practice location
1011 Bond St, Asbury Park, NJ 07712-5939
Fax
732-897-9541
Last updated
July 8, 2007

Mark Tighe Sullivan is a Social Worker, Clinical based in Asbury Park, NJ. Mark Tighe Sullivan practices in Asbury Park, NJ and has the professional credentials of LCSW. The NPI Number for Mark Tighe Sullivan is 1356456297 and holds a License No. 44sc01470400 (NJ). The current practice location address for Mark Tighe Sullivan is 1011 Bond St, Asbury Park, NJ 07712-5939 and can be reached out via phone at 732-869-2781 and via fax at 732-897-9541.

Provider Profile Details

NPI Number
1356456297
Provider Name
Mark Tighe Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1011 Bond St, Asbury Park, NJ 07712-5939
Phone Number
732-869-2781
Fax Number
732-897-9541
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Bond St
Asbury Park, NJ 07712-5939
Zip
07712-5939
Phone Number
732-869-2781
Fax Number
732-897-9541
Asbury Park, NJ 07712Get directions →

Provider Business Mailing Address Details

Address
304 Liberty St
Long Branch, NJ 07740-7339
City
Long Branch
State
NJ
Zip
07740-7339
Phone Number
732-869-2781

License Information

License Number
44sc01470400
License State
NJ
Taxonomy
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 Mr. Mark T Sullivan, LCSW?

The NPI number of Mr. Mark T Sullivan, LCSW is 1356456297. It was assigned on August 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark T Sullivan, LCSW?

Mr. Mark T Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc01470400.

Where does Mr. Mark T Sullivan, LCSW practice?

The practice location is 1011 Bond St, Asbury Park, NJ 07712-5939. The office can be reached at 732-869-2781 (phone) or 732-897-9541 (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 1356456297 directly on the NPPES registry website.

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