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

Individual provider Clinical Social Worker · NPI 1841443801

Mr. Mark Donahue, LICSW is a Clinical Social Worker in Brattleboro, Vermont. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Vermont.

Years since qualifying
22
Licensed in
VT
In the registry since
2008
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 checks out

130 Birge St
Brattleboro, VT 05301-6460
Phone: (802) 254-3742
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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 089001259 (VT)

Record details

NPI number1841443801
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 3, 2008
Last updated in NPPESFebruary 12, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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