IndividualActive
Mark Sullivan, LICSW
NPI 1790813509 · Clinical Social Worker · Brockton, MA
Mark Sullivan, LICSW is a Clinical Social Worker provider in Brockton, MA (NPI 1790813509).
Provider details
- NPI number
- 1790813509
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1020933 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Torrey St
Brockton, MA 02301-4800
Phone: (508) 584-5190
Street-level locationGet directions
Mailing address
179 Depot St
South Easton, MA 02375
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Sullivan's NPI number?
- Mark Sullivan's National Provider Identifier (NPI) is 1790813509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Sullivan's specialty?
- Mark Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mark Sullivan located?
- Mark Sullivan's practice location on file with NPPES is 111 Torrey St, Brockton, MA 02301-4800.
- What is Mark Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Mark Sullivan is (508) 584-5190.
- Is Mark Sullivan's NPI active?
- Yes — Mark Sullivan's NPI (1790813509) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.