Active NPIIndividual provider

Mark Kearns, LICSW

Social Worker in Jamaica Plain, Massachusetts

NPI Number1578033379
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
—
Last updated
December 5, 2018

Mark Kearns is a Social Worker based in Jamaica Plain, MA. Mark Kearns practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Mark Kearns is 1578033379. The current practice location address for Mark Kearns is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-971-3369.

Provider Profile Details

NPI Number
1578033379
Provider Name
Mark Kearns
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-971-3369
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2018
Last Update Date
December 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-971-3369
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
58 Spallus RD
Stoughton, MA 02072-2749
City
Stoughton
State
MA
Zip
02072-2749
Phone Number
603-498-5796

License Information

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

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 Kearns, LICSW?

The NPI number of Mark Kearns, LICSW is 1578033379. It was assigned on December 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Mark Kearns, LICSW?

Mark Kearns, LICSW is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Mark Kearns, LICSW practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-971-3369 (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 1578033379 directly on the NPPES registry website.

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