Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Brodeur-Fossa, LICSW

Individual provider Clinical Social Worker · NPI 1891820825

Mario Brodeur-Fossa, LICSW is a Clinical Social Worker in Berlin, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2007.

Licensed in
NH
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

3 12th St
Berlin, NH 03570-3860
Phone: (603) 752-7404
Fax: (603) 752-5194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 424 (NH)

Record details

NPI number1891820825
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 8, 2007

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