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

Mr. Mark Edwin Forrest, LICSW

Individual provider Social Worker · NPI 1487667705

Mr. Mark Edwin Forrest, LICSW is a Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
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

330 Brookline Ave Beth Israel Deaconess Medical Center/east
Boston, MA 02215
Phone: (617) 667-7000
Fax: (617) 667-8665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 110768 (MA)

Record details

NPI number1487667705
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address11 Norris St, Cambridge, MA 02140-1814

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