Mrs. Kelli A Sullivan, LICSW
Social Worker, Clinical in Middleton, Massachusetts
1407075989- Practice location
- 37 Central St, Middleton, MA 01949-1716
- Phone
- 978-223-3272
- Fax
- —
- Last updated
- November 17, 2021
Kelli Ann Sullivan is a Social Worker, Clinical based in Middleton, MA. Kelli Ann Sullivan practices in Middleton, MA and has the professional credentials of LICSW. The NPI Number for Kelli Ann Sullivan is 1407075989 and holds a License No. 114135 (MA). The current practice location address for Kelli Ann Sullivan is 37 Central St, Middleton, MA 01949-1716 and can be reached out via phone at 978-223-3272.
Provider Profile Details
- NPI Number
- 1407075989
- Provider Name
- Kelli Ann Sullivan
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 37 Central St, Middleton, MA 01949-1716
- Phone Number
- 978-223-3272
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Kelli Ann Backstrom, LICSW (Former Name)
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- November 17, 2021
- Certification Date
- November 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 37 Central St
Middleton, MA 01949-1716 - City
- Middleton
- State
- Massachusetts
- Zip
- 01949-1716
- Phone Number
- 978-223-3272
Provider Business Mailing Address Details
- Address
- 37 Central St
Middleton, MA 01949-1716 - City
- Middleton
- State
- MA
- Zip
- 01949-1716
- Phone Number
- 978-223-3272
License Information
- License Number (1)
- 114135
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
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 Mrs. Kelli A Sullivan, LICSW?
The NPI number of Mrs. Kelli A Sullivan, LICSW is 1407075989. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelli A Sullivan, LICSW?
Mrs. Kelli A Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114135.
Where does Mrs. Kelli A Sullivan, LICSW practice?
The practice location is 37 Central St, Middleton, MA 01949-1716. The office can be reached at 978-223-3272 (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 1407075989 directly on the NPPES registry website.