Mr. Charles Sullivan, MSW, LICSW
Social Worker, Clinical in Medford, Massachusetts
1114093259- Practice location
- 10 High St Ste 10, Medford, MA 02155-3848
- Phone
- 781-395-1560
- Fax
- 781-391-5564
- Last updated
- January 4, 2010
Charles Sullivan is a Social Worker, Clinical based in Medford, MA. 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 (VT). The current practice location address for Charles Sullivan is 10 High St Ste 10, Medford, MA 02155-3848 and can be reached out via phone at 781-395-1560 and via fax at 781-391-5564.
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 02155-3848
- Phone Number
- 781-395-1560
- Fax Number
- 781-391-5564
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- January 4, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 High St Ste 10
Medford, MA 02155-3848 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3848
- Phone Number
- 781-395-1560
- Fax Number
- 781-391-5564
Provider Business Mailing Address Details
- Address
- Po Box 681
Newport, VT 05855-0681 - City
- Newport
- State
- VT
- Zip
- 05855-0681
- Phone Number
- 781-254-4958
License Information
- License Number
- 089.0060196
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Medford, MA
View all Social Worker, Clinical providers in Medford →- Alanah T Hodges, LCSWSocial Worker, Clinical · NPI 1518892488
- Alanna BunzelSocial Worker, Clinical · NPI 1679941355
- Alexandra B Rose, LCSWSocial Worker, Clinical · NPI 1588428650
- Alice J Kim, LICSWSocial Worker, Clinical · NPI 1184632663
- Alicia M CarnevaleSocial Worker, Clinical · NPI 1710406673
- Alison B Christopher, LICSWSocial Worker, Clinical · NPI 1235307356
Frequently Asked Questions
What is the NPI number of Mr. Charles Sullivan, MSW, LICSW?
The NPI number of Mr. Charles Sullivan, MSW, LICSW is 1114093259. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Charles Sullivan, MSW, LICSW?
Mr. Charles Sullivan, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0060196.
Where does Mr. Charles Sullivan, MSW, LICSW practice?
The practice location is 10 High St Ste 10, Medford, MA 02155-3848. The office can be reached at 781-395-1560 (phone) or 781-391-5564 (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 1114093259 directly on the NPPES registry website.