MR. MARK TIGHE SULLIVAN (NPI# 1356456297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356456297 |
| Entity Type | Individual |
| Full Name | MR. MARK TIGHE SULLIVAN |
| Credential | LCSW |
| Practice Address |
1011 Bond St Asbury Park NJ 07712-5939 |
| Mailing Address |
304 Liberty St Long Branch NJ 07740-7339 |
| Practice Telephone | 7328692781 |
| Practice Fax Number | 7328979541 |
| Mailing Telephone | 7328692781 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC01470400 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730863 | Mark Allan Sullivan | Chiropractor | 4196 Avery Rd, Hilliard, OH 43026-1004 | 2006-12-29 |
| 1306874227 | Mark Allen Sullivan | Physical Therapist | 133 Mountain Rd, Suite 2b., Suffield, CT 06078-2084 | 2006-06-29 |
| 1497722615 | Mark F Sullivan Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11236 Robinwood Dr, # 7, Hagerstown, MD 21742-6708 | 2006-03-07 |
| 1710983432 | Mark P. Sullivan | Dentist | 1440 South Pottstown Pike, West Chester, PA 19380-1271 | 2005-06-27 |
| 1134752371 | Mark Sullivan | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2020-02-17 |
| 1295260347 | Mark Sullivan | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-04-26 |
| 1841724754 | Mark Sullivan | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2017-04-18 |
| 1386098762 | Mark Sullivan | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2016-04-21 |
| 1346614641 | Mark Sullivan | Social Worker | 5225 Connecticut Ave Nw, #616, Washington, DC 20015-1813 | 2015-11-24 |
| 1942681689 | Mark Sullivan | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-06-17 |
| Street Address |
1011 BOND ST |
| City | ASBURY PARK |
| State | NJ |
| Zip Code | 07712-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386140564 | Christopher Schneider | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2018-04-05 |
| 1861932741 | Joanna Weislogel | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2017-02-27 |
| 1932536760 | Peter Dougherty | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2013-10-14 |
| 1003243817 | Susan Hatami | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2013-10-11 |
| 1770836025 | Meridian Behavioral Health | Clinic/Center | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2012-10-24 |
| 1952654972 | Eridian Behavioral Health | Clinic/Center | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2012-10-16 |
| 1023100666 | Peter Bering Wegener | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-29 |
| 1043302193 | Suzanne Von Bargen | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-28 |
| 1992897094 | Michael Sean Rafter | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-28 |
| 1346332491 | Paula Andria Bucknor | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642574 | Carolyn Artale | Social Worker | 304 7th Ave Apt 3, Asbury Park, NJ 07712-5220 | 2018-09-14 |
| 1336544071 | Adrienne Wert | Social Worker | 1204 Bond St, Asbury Park, NJ 07712-5937 | 2014-10-23 |
| 1730360926 | Robert Gregory Hodnett | Social Worker | 305 Bond St, Asbury Park, NJ 07712-7010 | 2007-11-16 |
| 1578743969 | Miles T Bergman | Social Worker | 1509 4th Ave, Asbury Park, NJ 07712-4945 | 2007-11-14 |
| 1164540274 | Jewish Family and Children's Service | Social Worker | 705 Summerfield Ave, Asbury Park, NJ 07712-6921 | 2007-03-27 |
| 1942392030 | Meredith A Byrne | Social Worker | 1011 Bond Street, Asbury Park, NJ 07712 | 2006-09-28 |
| 1316434657 | Cameron A. Mazzeo | Social Worker | 705 Summerfield Ave, Asbury Park, NJ 07712-6921 | 2018-04-20 |
| 1821477381 | Mohr Adult Psychological Services Corp | Social Worker | 1615 Park Ave, Apt 6g, Asbury Park, NJ 07712-5281 | 2015-05-29 |
| 1609284538 | Wendy Zagha | Social Worker | 705 Summerfield Ave, Asbury Park, NJ 07712-6921 | 2014-07-23 |
| 1225467418 | Elizabeth Ann Pepperman | Social Worker | 1301 Main St, Asbury Park, NJ 07712-5359 | 2013-11-07 |
| Find all providers in ASBURY PARK | ||||
| City | ASBURY PARK |
| Zip Code | 07712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.