Mrs. Jennifer M Sullivan-Brunault, LICSW
Social Worker, Clinical in Agawam, Massachusetts
1750650487- Practice location
- 335 Walnut St. Extension, Suite 200, Agawam Professional Center, Agawam, MA 01001-1524
- Phone
- 413-789-8955
- Fax
- 413-789-0557
- Last updated
- December 27, 2011
Jennifer Marie Sullivan-Brunault is a Social Worker, Clinical based in Agawam, MA. Jennifer Marie Sullivan-Brunault practices in Agawam, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Marie Sullivan-Brunault is 1750650487 and holds a License No. 113195 (MA). The current practice location address for Jennifer Marie Sullivan-Brunault is 335 Walnut St. Extension, Suite 200, Agawam Professional Center, Agawam, MA 01001-1524 and can be reached out via phone at 413-789-8955 and via fax at 413-789-0557.
Provider Profile Details
- NPI Number
- 1750650487
- Provider Name
- Jennifer Marie Sullivan-Brunault
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 335 Walnut St. Extension, Suite 200, Agawam Professional Center, Agawam, MA 01001-1524
- Phone Number
- 413-789-8955
- Fax Number
- 413-789-0557
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Miss Jennifer Marie Sullivan, LICSW (Other Name)
- Provider Enumeration Date
- December 27, 2011
- Last Update Date
- December 27, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 335 Walnut St. Extension, Suite 200
Agawam Professional Center
Agawam, MA 01001-1524 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-1524
- Phone Number
- 413-789-8955
- Fax Number
- 413-789-0557
Provider Business Mailing Address Details
- Address
- 335 Walnut St. Extension, Suite 200
Agawam Professional Center
Agawam, MA 01001-1524 - City
- Agawam
- State
- MA
- Zip
- 01001-1524
- Phone Number
- 413-789-8955
- Fax Number
- 413-789-0557
License Information
- License Number
- 113195
- License State
- MA
- Taxonomy
- 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 Agawam, MA
View all Social Worker, Clinical providers in Agawam →- Angela Copple, MASocial Worker, Clinical · NPI 1457431256
- Cristina Di Nardo-Dupre, LICSWSocial Worker, Clinical · NPI 1669519336
- Maryann E. Paleologopoulos Licsw, INCSocial Worker, Clinical · NPI 1851656193
- Michelle WynneSocial Worker, Clinical · NPI 1790127330
- Mrs. Constance E Kononitz, MSWSocial Worker, Clinical · NPI 1467565010
- Mrs. Maryann E Paleologopoulos, LICSWSocial Worker, Clinical · NPI 1306082334
Frequently Asked Questions
What is the NPI number of Mrs. Jennifer M Sullivan-Brunault, LICSW?
The NPI number of Mrs. Jennifer M Sullivan-Brunault, LICSW is 1750650487. It was assigned on December 27, 2011 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer M Sullivan-Brunault, LICSW?
Mrs. Jennifer M Sullivan-Brunault, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113195.
Where does Mrs. Jennifer M Sullivan-Brunault, LICSW practice?
The practice location is 335 Walnut St. Extension, Suite 200, Agawam Professional Center, Agawam, MA 01001-1524. The office can be reached at 413-789-8955 (phone) or 413-789-0557 (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 1750650487 directly on the NPPES registry website.