Kelly A Sullivan, LCSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1528558046- Practice location
- 3815 Washington St, Jamaica Plain, MA 02130
- Phone
- 617-983-5800
- Fax
- —
- Last updated
- July 23, 2018
Kelly Anne Sullivan is a Social Worker, Clinical based in Jamaica Plain, MA. Kelly Anne Sullivan practices in Jamaica Plain, MA and has the professional credentials of LCSW. The NPI Number for Kelly Anne Sullivan is 1528558046 and holds a License No. 000223873 (MA). The current practice location address for Kelly Anne Sullivan is 3815 Washington St, Jamaica Plain, MA 02130 and can be reached out via phone at 617-983-5800.
Provider Profile Details
- NPI Number
- 1528558046
- Provider Name
- Kelly Anne Sullivan
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3815 Washington St, Jamaica Plain, MA 02130
- Phone Number
- 617-983-5800
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2018
- Last Update Date
- July 23, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3815 Washington St
Jamaica Plain, MA 02130 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130
- Phone Number
- 617-983-5800
Provider Business Mailing Address Details
- Address
- 780 American Legion Hwy
Roslindale, MA 02131-3908 - City
- Roslindale
- State
- MA
- Zip
- 02131-3908
- Phone Number
- 817-676-4203
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 000223873
- License State (2)
- MA
- 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. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
View all Social Worker, Clinical providers in Jamaica Plain →- 635 Community Health CollectiveSocial Worker, Clinical · NPI 1558074088
- Allison ColeSocial Worker, Clinical · NPI 1124844543
- Amanda Welty, LICSWSocial Worker, Clinical · NPI 1790390771
- Amy Vogt Counseling, LLCSocial Worker, Clinical · NPI 1528918083
- Ana Klett, LICSWSocial Worker, Clinical · NPI 1114331998
- Angela DepaolisSocial Worker, Clinical · NPI 1427405398
Frequently Asked Questions
What is the NPI number of Kelly A Sullivan, LCSW?
The NPI number of Kelly A Sullivan, LCSW is 1528558046. It was assigned on May 10, 2018 and is currently active in the NPPES registry.
What is the specialty of Kelly A Sullivan, LCSW?
Kelly A Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000223873.
Where does Kelly A Sullivan, LCSW practice?
The practice location is 3815 Washington St, Jamaica Plain, MA 02130. The office can be reached at 617-983-5800 (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 1528558046 directly on the NPPES registry website.