Active NPIIndividual provider

Charly Sullivan

Community Health Worker in Charlton, Massachusetts

NPI Number1043121734
Practice location
159 Worcester RD Ste 103, Charlton, MA 01507-1677
Fax
508-302-8561
Last updated
September 14, 2026

Charly Sullivan is a Community Health Worker based in Charlton, MA. Charly Sullivan practices in Charlton, MA. The NPI Number for Charly Sullivan is 1043121734. The current practice location address for Charly Sullivan is 159 Worcester RD Ste 103, Charlton, MA 01507-1677 and can be reached out via phone at 508-469-3168 and via fax at 508-302-8561.

Provider Profile Details

NPI Number
1043121734
Provider Name
Charly Sullivan
Provider Entity Type
Individual
Gender
Female
Address
159 Worcester RD Ste 103, Charlton, MA 01507-1677
Phone Number
508-469-3168
Fax Number
508-302-8561
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2026
Last Update Date
September 14, 2026
Certification Date
September 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Worcester RD Ste 103
Charlton, MA 01507-1677
Zip
01507-1677
Phone Number
508-469-3168
Fax Number
508-302-8561
Charlton, MA 01507Get directions →

Provider Business Mailing Address Details

Address
159 Worcester RD Ste 103
Charlton, MA 01507-1677
City
Charlton
State
MA
Zip
01507-1677
Phone Number
508-469-3168
Fax Number
508-302-8561

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Community Health Workers near Charlton, MA

View all Community Health Workers in Charlton →

Frequently Asked Questions

What is the NPI number of Charly Sullivan?

The NPI number of Charly Sullivan is 1043121734. It was assigned on September 14, 2026 and is currently active in the NPPES registry.

What is the specialty of Charly Sullivan?

Charly Sullivan is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Charly Sullivan practice?

The practice location is 159 Worcester RD Ste 103, Charlton, MA 01507-1677. The office can be reached at 508-469-3168 (phone) or 508-302-8561 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043121734 directly on the NPPES registry website.

Browse related providers