Active NPIIndividual provider

Mr. Daniel T Sullivan, LICSW

Social Worker, Clinical in South Boston, Massachusetts

NPI Number1124235734
Practice location
58 Old Colony Ave, South Boston, MA 02127-2406
Fax
—
Last updated
June 7, 2011

Daniel T Sullivan is a Social Worker, Clinical based in South Boston, MA. Daniel T Sullivan practices in South Boston, MA and has the professional credentials of LICSW. The NPI Number for Daniel T Sullivan is 1124235734 and holds a License No. 115114 (MA). The current practice location address for Daniel T Sullivan is 58 Old Colony Ave, South Boston, MA 02127-2406 and can be reached out via phone at 617-268-1700.

Provider Profile Details

NPI Number
1124235734
Provider Name
Daniel T Sullivan
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
58 Old Colony Ave, South Boston, MA 02127-2406
Phone Number
617-268-1700
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2007
Last Update Date
June 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Old Colony Ave
South Boston, MA 02127-2406
Zip
02127-2406
Phone Number
617-268-1700
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
58 Old Colony Ave
South Boston, MA 02127-2406
City
South Boston
State
MA
Zip
02127-2406
Phone Number
617-268-1700
Fax Number
617-268-1991

License Information

License Number
115114
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Mr. Daniel T Sullivan, LICSW?

The NPI number of Mr. Daniel T Sullivan, LICSW is 1124235734. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Daniel T Sullivan, LICSW?

Mr. Daniel T Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115114.

Where does Mr. Daniel T Sullivan, LICSW practice?

The practice location is 58 Old Colony Ave, South Boston, MA 02127-2406. The office can be reached at 617-268-1700 (phone).

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 1124235734 directly on the NPPES registry website.

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