Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK VINCENT SUNDSTROM, M.S.,LICSW
ActiveMARK VINCENT SUNDSTROM, M.S.,LICSW is a Clinical Social Worker healthcare provider located in FAYETTEVILLE, West Virginia. NPI 1548473903 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FAYETTEVILLE, WV
Registration Details
- NPI Number
- 1548473903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.233132152806 yrs)
- Last Updated
- Jul 9, 2007
- License
-
DP00450472 (WV)
Practice Information
- Address
-
209 W MAPLE AVEFAYETTEVILLE, WV, 258401413Browse WV providers · Browse ZIP 25840
- Phone
- 3045742100
- Fax
- 3045742151
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FAYETTEVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. LORRIE JILL HUDSON | MSW, LICSW | 1174774772 |
| LAURA RUTH KUSRASHVILI | MSW, LCSW | 1326534298 |
| HEATHER RENEE COLLINS | MSW | 1518581404 |
| CHELSEY NICOLE KEATHLEY | MSW | 1710665658 |
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.