Active NPIIndividual provider

Ms. Kelly G Sullivan, MSW, LCSW

Social Worker in Worcester, Massachusetts

NPI Number1467610998
Practice location
321 Burncoat St, Worcester, MA 01606-3141
Fax
508-595-9712
Last updated
May 30, 2008

Kelly G Sullivan is a Social Worker based in Worcester, MA. Kelly G Sullivan practices in Worcester, MA and has the professional credentials of MSW, LCSW. The NPI Number for Kelly G Sullivan is 1467610998 and holds a License No. 214702 (MA). The current practice location address for Kelly G Sullivan is 321 Burncoat St, Worcester, MA 01606-3141 and can be reached out via phone at 508-853-2487 and via fax at 508-595-9712.

Provider Profile Details

NPI Number
1467610998
Provider Name
Kelly G Sullivan
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
321 Burncoat St, Worcester, MA 01606-3141
Phone Number
508-853-2487
Fax Number
508-595-9712
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2008
Last Update Date
May 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
321 Burncoat St
Worcester, MA 01606-3141
Zip
01606-3141
Phone Number
508-853-2487
Fax Number
508-595-9712
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
321 Burncoat St
Worcester, MA 01606-3141
City
Worcester
State
MA
Zip
01606-3141
Phone Number
508-853-2487
Fax Number
508-595-9712

License Information

License Number
214702
License State
MA
Taxonomy
Social Worker · 104100000X · 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. Kelly G Sullivan, MSW, LCSW?

The NPI number of Ms. Kelly G Sullivan, MSW, LCSW is 1467610998. It was assigned on May 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Kelly G Sullivan, MSW, LCSW?

Ms. Kelly G Sullivan, MSW, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 214702.

Where does Ms. Kelly G Sullivan, MSW, LCSW practice?

The practice location is 321 Burncoat St, Worcester, MA 01606-3141. The office can be reached at 508-853-2487 (phone) or 508-595-9712 (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 1467610998 directly on the NPPES registry website.

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