Active NPIIndividual provider

Mrs. Antoinette O Sullivan, LICSW

Social Worker, Clinical in South Kingstown, Rhode Island

NPI Number1366582819
Practice location
65 Village Square Dr, South Kingstown, RI 02879-2292
Fax
401-782-1770
Last updated
April 9, 2024

Antoinette O Sullivan is a Social Worker, Clinical based in South Kingstown, RI. Antoinette O Sullivan practices in South Kingstown, RI and has the professional credentials of LICSW. The NPI Number for Antoinette O Sullivan is 1366582819 and holds a License No. ISW01516 (RI). The current practice location address for Antoinette O Sullivan is 65 Village Square Dr, South Kingstown, RI 02879-2292 and can be reached out via phone at 401-789-5924 and via fax at 401-782-1770.

Provider Profile Details

NPI Number
1366582819
Provider Name
Antoinette O Sullivan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
65 Village Square Dr, South Kingstown, RI 02879-2292
Phone Number
401-789-5924
Fax Number
401-782-1770
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Antoinette O'Brien (Former Name)
Provider Enumeration Date
February 7, 2007
Last Update Date
April 9, 2024
Certification Date
April 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Village Square Dr
South Kingstown, RI 02879-2292
Zip
02879-2292
Phone Number
401-789-5924
Fax Number
401-782-1770
South Kingstown, RI 02879Get directions →

Provider Business Mailing Address Details

Address
10 Davol Sq
Suite 400
Providence, RI 02903-4754
City
Providence
State
RI
Zip
02903-4754
Phone Number
401-421-4000
Fax Number
401-272-1456

License Information

License Number
ISW01516
License State
RI
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 Mrs. Antoinette O Sullivan, LICSW?

The NPI number of Mrs. Antoinette O Sullivan, LICSW is 1366582819. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Antoinette O Sullivan, LICSW?

Mrs. Antoinette O Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01516.

Where does Mrs. Antoinette O Sullivan, LICSW practice?

The practice location is 65 Village Square Dr, South Kingstown, RI 02879-2292. The office can be reached at 401-789-5924 (phone) or 401-782-1770 (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 1366582819 directly on the NPPES registry website.

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