Active NPIIndividual providerSole proprietor

Ms. Kathleen E Sullivan, LCSW

Social Worker, Clinical in Brunswick, Maine

NPI Number1497851885
Practice location
16 Lincoln St., Suite C, Brunswick, ME 04032
Fax
—
Last updated
October 20, 2015

Kathleen Ellen Sullivan is a Social Worker, Clinical based in Brunswick, ME. Kathleen Ellen Sullivan practices in Brunswick, ME and has the professional credentials of LCSW. The NPI Number for Kathleen Ellen Sullivan is 1497851885 and holds a License No. LC469 (ME). The current practice location address for Kathleen Ellen Sullivan is 16 Lincoln St., Suite C, Brunswick, ME 04032 and can be reached out via phone at 207-400-2454.

Provider Profile Details

NPI Number
1497851885
Provider Name
Kathleen Ellen Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
16 Lincoln St., Suite C, Brunswick, ME 04032
Phone Number
207-400-2454
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2006
Last Update Date
October 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Lincoln St.
Suite C
Brunswick, ME 04032
State
Maine
Zip
04032
Phone Number
207-400-2454
Brunswick, ME 04032Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 523
Freeport, ME 04032
City
Freeport
State
ME
Zip
04032
Phone Number
207-865-6695

License Information

License Number (1)
LC469
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
#469
License State (2)
ME
Taxonomy (2)
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 Ms. Kathleen E Sullivan, LCSW?

The NPI number of Ms. Kathleen E Sullivan, LCSW is 1497851885. It was assigned on September 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathleen E Sullivan, LCSW?

Ms. Kathleen E Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC469.

Where does Ms. Kathleen E Sullivan, LCSW practice?

The practice location is 16 Lincoln St., Suite C, Brunswick, ME 04032. The office can be reached at 207-400-2454 (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 1497851885 directly on the NPPES registry website.

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