Individual provider Active NPI

Mark Hopperstad, BACHELORS

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1558783373
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124085 Issued in MA
Practice address
1550 N Main St Ste 205
Fall River, MA 02720-2937
Phone
(508) 324-0328
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 124085 MA Primary

Addresses

Primary practice location

1550 N Main St Ste 205
Fall River, MA 02720-2937

Mailing address

1550 N Main St Ste 205
Fall River, MA 02720-2937
Phone (508) 324-0328

Other identifiers 1

IdentifierTypeStateIssuer
GH57134MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007001703 MA Practitioner - Clinical Social Worker 1153729090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians

Practice addresses (Care Compare)

103 Commercial St
Suite 2
Brockton, MA 02302-3133
Phone (508) 521-2200

1565 N Main St
Fall River, MA 02720-2972
Phone (508) 324-0328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124085MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince Sep 15, 2021 Accepting new patients

Locations

103 Commercial St
Ste 2
Brockton, MA 02302

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1558783373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE 205",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202937",
            "telephone_number": "508-324-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE 205",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202937",
            "telephone_number": "508-324-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPERSTAD",
        "first_name": "MARK",
        "credential": "BACHELORS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GH57134",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.