Mark Sullivan LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079401 Issued in DC

Legal business name

MARK SULLIVAN LLC

Practice address

8703 Milford Ave
Silver Spring, MD 20910-5030

Phone

(202) 264-0070

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Mark J Sullivan III, MSWNPI 1346614641

Title

Clinical Social Worker

Phone

(202) 264-0070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Sullivan

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1346614641

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1710470711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 MILFORD AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105030",
            "telephone_number": "202-264-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 MILFORD AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105030",
            "telephone_number": "202-264-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SULLIVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "202-264-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M Marin, M.D.
• Shirley Marjory Marin, BSN, RN
• Ndifor Marinus
• Mark H. Eig, M.D. LLC
• Mark Johnson, MD, PC
• Mark Wells DC PA (Advanced Chiropractic of Beltsville)
• Marvin R. Mark, D.M.D
• Michelle Anne Markow, CCC-SLP
• Laura Marks
• Holly Markush, LMT

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.