Mark Vincent Sundstrom, M.S.,LICSW
Clinical Social Worker · Fayetteville, WV
Practice location
209 W Maple AveFayetteville, WV 25840-1413
- Phone
- (304) 574-2100
- Fax
- (304) 574-2151
NPI record
- NPI
- 1548473903
- Entity type
- Individual (Type 1)
- Enumeration date
- May 8, 2007
- Last updated
- July 9, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
DP00450472 | WV |
About Mark Sundstrom
Mark Vincent Sundstrom, M.S.,LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 209 W Maple Ave, Fayetteville, WV 25840-1413. The NPI number 1548473903 was assigned on May 8, 2007 and the record was last updated on July 9, 2007.
Mark Sundstrom lists a license in the registry: #DP00450472 (WV) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Vincent Sundstrom, M.S.,LICSW?
The NPI number is 1548473903.
What is the phone number of Mark Sundstrom?
The phone number listed for the practice location is (304) 574-2100.
Where is Mark Sundstrom located?
209 W Maple Ave, Fayetteville, WV 25840-1413.
What is the taxonomy code for Mark Sundstrom?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Clinical Social Worker providers in Fayetteville
- Laura Ruth Kusrashvili, MSW, LCSW209 W Maple Ave
- Heather Renee Collins, MSW209 W Maple Ave