Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629131263 Individual Practitioner Male Practitioner

Mark Francis Theodore , MA, LSW

Counselor - Professional • Fall River, MA

Professional Overview & Biography Verified Profile Summary

Mark Theodore, MA, LSW is a registered healthcare professional specializing in Counselor - Professional in Fall River, MA. Practice services are available at 795 MIDDLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

795 Middle St

Fall River, MA 027211733

Telephone 5086745600
Fax 5082355009
Associated Practice Facility / Clinic
🏢 Omni Medical Diagnostics Facility NPI 1629049747

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fall River, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Fall River, MA (476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MA 3024783

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Desiree Gillpatrick , LICSW

Social Worker - Clinical

NPI 1013096528

Licensed Independent Clinical Social Worker

Matthew Braga , NP

Nurse Practitioner - Acute Care

NPI 1013893577

Nurse Practitioner

David Molloy , LICSW

Social Worker - Clinical

NPI 1023148665

Licensed Independent Clinical Social Worker

Dr. Victoria Fox , MD

Emergency Medicine

NPI 1033600127

Doctor of Medicine (M.D.)

Julia Valeri , PA-C

Physician Assistant

NPI 1033782610

Physician Assistant (Certified)

Corey Mammen

Nurse Anesthetist, Certified Registered

NPI 1063003648

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2011

Registered at 795 MIDDLE ST, FALL RIVER, MA 027211733 (Tel: 5086745600)

📍
Updated Business Mailing Address May 11, 2011

Registered at 795 MIDDLE ST, FALL RIVER, MA 027211733 (Tel: 5086745600)

👤
Provider Name / Credentials Updated May 11, 2011

Recorded as MARK THEODORE, MA, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2011

Counselor (License #3024783 in MA)

🟢
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mark Theodore. Be the first to share your experience!

Sign in to leave a review for Mark Theodore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629131263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: May 11, 2011
Sole Proprietor: Yes

Mailing Address

795 Middle St

Fall River, MA 027211733

Phone: 5086745600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.