Individual provider · Type 1 NPI

Mark Charles Sussman, LCSW

Clinical Social Worker · Eureka, CA

NPI number 1982799458 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 11461 (CA)

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 1982799458

Mark Charles Sussman, LCSW's National Provider Identifier is 1982799458, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Nov 16, 2011.