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

Individual provider Clinical Social Worker · NPI 1649317041

Mark Jimerson, LICSW is a Clinical Social Worker in San Juan, Puerto Rico. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
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.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

954 Ave Ponce De Leon Ste 405C
San Juan, PR 00907
Phone: (413) 636-5691

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1030600 (MA)

Record details

NPI number1649317041
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 13, 2018

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