Dr. Mark J Brenner, PHD, LICSW
Social Worker, Clinical in Canton, Massachusetts
1386797355- Practice location
- 1 Nathaniel Way, Canton, MA 02021-3852
- Phone
- 781-821-0708
- Fax
- —
- Last updated
- July 8, 2007
Mark Jeffery Brenner is a Social Worker, Clinical based in Canton, MA. Mark Jeffery Brenner practices in Canton, MA and has the professional credentials of PHD, LICSW. The NPI Number for Mark Jeffery Brenner is 1386797355 and holds a License No. 104840 (MA). The current practice location address for Mark Jeffery Brenner is 1 Nathaniel Way, Canton, MA 02021-3852 and can be reached out via phone at 781-821-0708.
Provider Profile Details
- NPI Number
- 1386797355
- Provider Name
- Mark Jeffery Brenner
- Credential
- PHD, LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Nathaniel Way, Canton, MA 02021-3852
- Phone Number
- 781-821-0708
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 20, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Nathaniel Way
Canton, MA 02021-3852 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-3852
- Phone Number
- 781-821-0708
Provider Business Mailing Address Details
- Address
- 1 Nathaniel Way
Canton, MA 02021-3852 - City
- Canton
- State
- MA
- Zip
- 02021-3852
- Phone Number
- 781-821-0708
License Information
- License Number
- 104840
- 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 Canton, MA
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- Alicia Rodio, LICSWSocial Worker, Clinical · NPI 1215356076
- Allyson L Gormley, MSW, LICSWSocial Worker, Clinical · NPI 1346413127
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Frequently Asked Questions
What is the NPI number of Dr. Mark J Brenner, PHD, LICSW?
The NPI number of Dr. Mark J Brenner, PHD, LICSW is 1386797355. It was assigned on January 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark J Brenner, PHD, LICSW?
Dr. Mark J Brenner, PHD, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104840.
Where does Dr. Mark J Brenner, PHD, LICSW practice?
The practice location is 1 Nathaniel Way, Canton, MA 02021-3852. The office can be reached at 781-821-0708 (phone).
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 1386797355 directly on the NPPES registry website.