Mark Cherubim, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112081 Issued in MA

Practice address

155A Lovering St
Medway, MA 02053-2331

Phone

(508) 523-8736

Fax

(508) 533-4103

NPI assigned

Dec 8, 2006

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Clinical

  NPD (past)
• Psychological Care Associates, P.C.

  • Clinical Psychologist
  • Woburn, MA
  • NPI 1194770479
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1417016965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155A LOVERING STREET",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "02053",
            "telephone_number": "508-523-8736",
            "fax_number": "508-533-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155A LOVERING ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532331",
            "telephone_number": "508-523-8736",
            "fax_number": "508-533-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUBIM",
        "first_name": "MARK",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Cassidy
• Cheryl Celia, CRNP
• Stephanie Changeau, MSN,FNP BC
• William F Chaplin Jr., LICSW
• Barclay Vancliff Charles-Pierre, ZUMBA B1 CERTIFICATE
• Linda Ciu, MD
• Marc Clough, MED. CAGS LEP LMHC
• Coakley Chiropractic & Acupuncture
• Dennis Michael Coakley, D.C., LIC. AC
• Rachael Coffin, LMHC, LPC

• Clinical Social Worker in Medway, MA
• Providers in Medway, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.