Individual provider · Type 1 NPI

Mark Emilio Suris

Clinical Social Worker · Newton, MA

NPI number 1730869132 Active

Practice location

109 Oak St Ste 201
Newton, MA 02464-1493

Mailing address

1601 Providence Dr
Charlotte, NC 28211-1703

Other practice locations

  • 19 Peterborough St Apt 20, Boston, MA 02215-4434 · (248) 514-5222

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1730869132

Mark Emilio Suris's National Provider Identifier is 1730869132, issued on Jul 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newton, MA. The record was last updated on Jul 20, 2023.