Emma J Penti Sullivan, LICSW
Social Worker, Clinical in S Weymouth, Massachusetts
1750987392- Practice location
- 55 Fogg RD, S Weymouth, MA 02190-2432
- Phone
- 781-624-4697
- Fax
- —
- Last updated
- December 9, 2020
Emma J Penti Sullivan is a Social Worker, Clinical based in S Weymouth, MA. Emma J Penti Sullivan practices in S Weymouth, MA and has the professional credentials of LICSW. The NPI Number for Emma J Penti Sullivan is 1750987392 and holds a License No. 114450 (MA). The current practice location address for Emma J Penti Sullivan is 55 Fogg RD, S Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-4697.
Provider Profile Details
- NPI Number
- 1750987392
- Provider Name
- Emma J Penti Sullivan
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fogg RD, S Weymouth, MA 02190-2432
- Phone Number
- 781-624-4697
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2020
- Last Update Date
- December 9, 2020
- Certification Date
- December 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fogg RD
S Weymouth, MA 02190-2432 - City
- S Weymouth
- State
- Massachusetts
- Zip
- 02190-2432
- Phone Number
- 781-624-4697
Provider Business Mailing Address Details
- Address
- 253 Old Oaken Bucket RD
Scituate, MA 02066-4402 - City
- Scituate
- State
- MA
- Zip
- 02066-4402
- Phone Number
- 508-269-4575
License Information
- License Number
- 114450
- 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 S Weymouth, MA
View all Social Worker, Clinical providers in S Weymouth →Frequently Asked Questions
What is the NPI number of Emma J Penti Sullivan, LICSW?
The NPI number of Emma J Penti Sullivan, LICSW is 1750987392. It was assigned on December 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Emma J Penti Sullivan, LICSW?
Emma J Penti Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114450.
Where does Emma J Penti Sullivan, LICSW practice?
The practice location is 55 Fogg RD, S Weymouth, MA 02190-2432. The office can be reached at 781-624-4697 (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 1750987392 directly on the NPPES registry website.