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

Mark Vincent Sundstrom, MS, LICSW

Individual provider Clinical Social Worker · NPI 1548473903

Mark Vincent Sundstrom, MS, LICSW is a Clinical Social Worker in Fayetteville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

209 W Maple Ave
Fayetteville, WV 25840-1413
Phone: (304) 574-2100
Fax: (304) 574-2151
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 DP00450472 (WV)

Record details

NPI number1548473903
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LICSW
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 9, 2007

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