MEDICARE: MARK SUKONIK LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	CSW.09929860	CO

General Provider Information

NPI Number	:	1417729823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK SUKONIK LCSW

Provider Business Mailing Address
First Line	:	3920 N UNION BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4916
Country	:	US
Telephone Number	:	719-471-9992
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 N UNION BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4916
Country	:	US
Telephone Number	:	719-471-9992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	12/21/2023

Similar Medicare Providers

1295783876 — PREMIER ORTHOPEDICS
Practice Location Address:

3920 N UNION BLVD , STE 330
COLORADO SPRINGS, CO
80907-4916

Practice Phone: 719-570-7272
Practice Fax: 719-570-9030

1841231230 — ANDREW RICHARD DOMER PA-C
Practice Location Address:

3920 N UNION BLVD STE 330
COLORADO SPRINGS, CO
80907-4916

Practice Phone: 719-570-7272
Practice Fax: 719-570-9030

1710042841 — HAINGE FOOT & ANKLE CLINIC PC
Practice Location Address:

3920 N UNION BLVD STE 320
COLORADO SPRINGS, CO
80907-4916

Practice Phone: 719-574-2000
Practice Fax: 719-574-6477

1356694228 — GROTH FOOT & ANKLE CLINIC PC
Practice Location Address:

3920 N UNION BLVD STE 320
COLORADO SPGS, CO
80907-4916

Practice Phone: 719-574-2000
Practice Fax: 719-574-6477

1548862550 — KATHRYN ELIZABETH TOUSLEY LCSW
Practice Location Address:

3920 N UNION BLVD STE 310
COLORADO SPRINGS, CO
80907-4916

Practice Phone: 719-471-9992
Practice Fax:

1598141533 — MRS. MARLENE MILLS
Practice Location Address:

4210 ROSALIE ST UNIT 102
COLORADO SPRINGS, CO
80917-4916

Practice Phone: 719-290-8717
Practice Fax:

Directions to “ MARK SUKONIK LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.