Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JACOB LONGSJO, LICSW
Active Sole ProprietorMARK JACOB LONGSJO, LICSW is a Clinical Social Worker healthcare provider located in BROCKTON, Massachusetts. NPI 1013949809 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROCKTON, MA
Registration Details
- NPI Number
- 1013949809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.922118804775 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1026908 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MCLEAN HOSPITAL SOUTHEAST LOCATION940 BELMONT STREETBROCKTON, MA, 02301Browse MA providers · Browse ZIP 02301
- Phone
- 5088948320
- Fax
- 5088948334
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL MOITOSO | MSW, BCD | 1992779011 |
| MS. RITA ANN ROONEY | LICSW | 1801848528 |
| JENNIFER FINE | LICSW | 1104863497 |
| RICHARD JON CURCURU | LICSW | 1508897513 |
| MRS. JILL ANN MARCIELLO | LICSW | 1497786271 |
| KATHERINE I LINSCOTT | LICSW | 1295767085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.