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Ms. Jennifer Kiely Sullivan, LICSW
Clinical Social Worker in Lexington, Massachusetts
NPI 1699838730

Jennifer Kiely Sullivan is a Clinical Social Worker based in Lexington, MA and is specialized in Clinical. Jennifer Kiely Sullivan practices in Lexington, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Kiely Sullivan is 1699838730 and holds a License No. 111455 (Massachusetts).

The current practice location address for Jennifer Kiely Sullivan is 1040 Waltham Street, Lexington, MA and can be reached out via phone at 781-862-3600 and via fax at 781-860-7636.

Location: 1040 Waltham Street, Lexington, MA, 02421-8033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699838730
Provider Name
Jennifer Kiely Sullivan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1040 Waltham Street, Lexington, MA, 02421-8033
Phone Number
781-862-3600
Fax Number
781-860-7636
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1303287 05 MA
1004745 01 MA NHP
703136 01 MA TUFTS
1303287 01 MA MBHP
M18633 01 MA BCBC
NP01332 01 MA BMC
institution
Provider Business Practice Location Address Details
Address
1040 Waltham Street
City
Lexington
State
Massachusetts
Zip
02421-8033
Phone Number
781-862-3600
Fax Number
781-860-7636
person
Provider Business Mailing Address Details
Address
1040 Waltham Street
City
Lexington
State
Massachusetts
Zip
02421-8033
Phone Number
781-862-3600
Fax Number
781-860-7636
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
111455 (Massachusetts)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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