Active NPIIndividual providerSole proprietor

Ms. Mary M Sullivan, LCSW

Social Worker, Clinical in Cos Cob, Connecticut

NPI Number1174551030
Practice location
132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744
Fax
203-962-2209
Last updated
June 6, 2011

Mary M Sullivan is a Social Worker, Clinical based in Cos Cob, CT. Mary M Sullivan practices in Cos Cob, CT and has the professional credentials of LCSW. The NPI Number for Mary M Sullivan is 1174551030 and holds a License No. 005814 (CT). The current practice location address for Mary M Sullivan is 132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744 and can be reached out via phone at 203-962-2209 and via fax at 203-962-2209.

Provider Profile Details

NPI Number
1174551030
Provider Name
Mary M Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744
Phone Number
203-962-2209
Fax Number
203-962-2209
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2006
Last Update Date
June 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 E Putnam Ave
Suite H
Cos Cob, CT 06807-2744
Zip
06807-2744
Phone Number
203-962-2209
Fax Number
203-962-2209
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
132 E Putnam Ave
Cos Cob, CT 06807-2744
City
Cos Cob
State
CT
Zip
06807-2744
Phone Number
203-962-2209
Fax Number
203-962-2209

License Information

License Number
005814
License State
CT
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 Ms. Mary M Sullivan, LCSW?

The NPI number of Ms. Mary M Sullivan, LCSW is 1174551030. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary M Sullivan, LCSW?

Ms. Mary M Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005814.

Where does Ms. Mary M Sullivan, LCSW practice?

The practice location is 132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744. The office can be reached at 203-962-2209 (phone) or 203-962-2209 (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 1174551030 directly on the NPPES registry website.

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