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

Mr. Mark Emilio Suris

Individual provider Clinical Social Worker · NPI 1730869132

Mr. Mark Emilio Suris is a Clinical Social Worker in Newton, Massachusetts. Qualified in 2023, 3 years ago. Practices with Boston Neurobehavioral Associates, LLC, a 155-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

109 Oak St Ste 201
Newton, MA 02464-1493
Phone: (617) 544-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 Peterborough St Apt 20, Boston, MA 02215-4434 — (248) 514-5222

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730869132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address1601 Providence Dr, Charlotte, NC 28211-1703

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Boston Neurobehavioral Associates, Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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