Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Jeffery Brenner, PHD, LICSW

Individual provider Clinical Social Worker · NPI 1386797355

Dr. Mark Jeffery Brenner, PHD, LICSW is a Clinical Social Worker in Canton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Nathaniel Way
Canton, MA 02021-3852
Phone: (781) 821-0708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104840 (MA)

Record details

NPI number1386797355
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LICSW
Sole proprietorYes
NPI enumeratedJanuary 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1 Nathaniel Way, Canton, MA 02021-3852

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