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Mr. Charles Sullivan, MSW,LICSW
Clinical Social Worker in Medford, Massachusetts
NPI 1114093259

Charles Sullivan is a Clinical Social Worker based in Newport, MA and is specialized in Clinical. Charles Sullivan practices in Medford, MA and has the professional credentials of MSW,LICSW. The NPI Number for Charles Sullivan is 1114093259 and holds a License No. 089.0060196 (Massachusetts).

The current practice location address for Charles Sullivan is 10 High St Ste 10, Medford, MA and can be reached out via phone at 781-395-1560 and via fax at 781-391-5564.

Location: 10 High St Ste 10, Medford, MA, 05855-0681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114093259
Provider Name
Charles Sullivan
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Male
Address
10 High St Ste 10, Medford, MA, 05855-0681
Phone Number
781-395-1560
Fax Number
781-391-5564
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10 High St Ste 10
City
Medford
State
Massachusetts
Zip
02155-3848
Phone Number
781-395-1560
Fax Number
781-391-5564
person
Provider Business Mailing Address Details
Address
10 High St Ste 10
City
Medford
State
Massachusetts
Zip
02155-3848
Phone Number
781-395-1560
Fax Number
781-391-5564
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
089.0060196 (Vermont)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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