Miss Jessica R Sullivan, BS
Social Worker, Clinical in Sharon, Massachusetts
1285994160- Practice location
- 15 Belcher St, Sharon, MA 02067-1305
- Phone
- 617-962-1934
- Fax
- —
- Last updated
- October 14, 2019
Jessica Rea Sullivan is a Social Worker, Clinical based in Sharon, MA. Jessica Rea Sullivan practices in Sharon, MA and has the professional credentials of BS. The NPI Number for Jessica Rea Sullivan is 1285994160 and holds a License No. 119289 (MA). The current practice location address for Jessica Rea Sullivan is 15 Belcher St, Sharon, MA 02067-1305 and can be reached out via phone at 617-962-1934.
Provider Profile Details
- NPI Number
- 1285994160
- Provider Name
- Jessica Rea Sullivan
- Credential
- BS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Belcher St, Sharon, MA 02067-1305
- Phone Number
- 617-962-1934
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2012
- Last Update Date
- October 14, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Belcher St
Sharon, MA 02067-1305 - City
- Sharon
- State
- Massachusetts
- Zip
- 02067-1305
- Phone Number
- 617-962-1934
Provider Business Mailing Address Details
- Address
- 15 Belcher St
Sharon, MA 02067-1305 - City
- Sharon
- State
- MA
- Zip
- 02067-1305
- Phone Number
- 617-962-1934
License Information
- License Number (1)
- 119289
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Jessica R Sullivan, BS?
The NPI number of Miss Jessica R Sullivan, BS is 1285994160. It was assigned on May 24, 2012 and is currently active in the NPPES registry.
What is the specialty of Miss Jessica R Sullivan, BS?
Miss Jessica R Sullivan, BS is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119289.
Where does Miss Jessica R Sullivan, BS practice?
The practice location is 15 Belcher St, Sharon, MA 02067-1305. The office can be reached at 617-962-1934 (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 1285994160 directly on the NPPES registry website.