Active NPIIndividual provider

Brian O'Sullivan, LICSW

Social Worker, Clinical in Malden, Massachusetts

NPI Number1285788695
Practice location
178 Savin St, Suite 200, Malden, MA 02148-2329
Fax
781-338-7245
Last updated
April 9, 2013

Brian O'Sullivan is a Social Worker, Clinical based in Malden, MA. Brian O'Sullivan practices in Malden, MA and has the professional credentials of LICSW. The NPI Number for Brian O'Sullivan is 1285788695 and holds a License No. 1016689 (MA). The current practice location address for Brian O'Sullivan is 178 Savin St, Suite 200, Malden, MA 02148-2329 and can be reached out via phone at 781-338-7250 and via fax at 781-338-7245.

Provider Profile Details

NPI Number
1285788695
Provider Name
Brian O'Sullivan
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
178 Savin St, Suite 200, Malden, MA 02148-2329
Phone Number
781-338-7250
Fax Number
781-338-7245
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2007
Last Update Date
April 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 Savin St
Suite 200
Malden, MA 02148-2329
City
Malden
Zip
02148-2329
Phone Number
781-338-7250
Fax Number
781-338-7245
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
178 Savin St
Suite 200
Malden, MA 02148-2329
City
Malden
State
MA
Zip
02148-2329
Phone Number
781-338-7250
Fax Number
781-338-7245

License Information

License Number
1016689
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 Brian O'Sullivan, LICSW?

The NPI number of Brian O'Sullivan, LICSW is 1285788695. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Brian O'Sullivan, LICSW?

Brian O'Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016689.

Where does Brian O'Sullivan, LICSW practice?

The practice location is 178 Savin St, Suite 200, Malden, MA 02148-2329. The office can be reached at 781-338-7250 (phone) or 781-338-7245 (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 1285788695 directly on the NPPES registry website.

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