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

Individual provider Clinical Social Worker · NPI 1134280423

Mr. Mark Richard Gallagher, LICSW is a Clinical Social Worker in Everett, Massachusetts. Qualified in 1993, 33 years ago. Practices with Eliot Community Human Services, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
33
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

173 Chelsea St Tri City Mental Health Ctr
Everett, MA 02149
Phone: (781) 388-6224
Fax: (617) 387-9768
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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 1026018 (MA)

Record details

NPI number1134280423
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Eliot Community Human Services — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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