Active NPIIndividual providerSole proprietor

Diane Sullivan, LICSW

Social Worker, Clinical in North Attleboro, Massachusetts

NPI Number1790289338
Practice location
72 Achilles Way, North Attleboro, MA 02763-4018
Fax
—
Last updated
March 20, 2018

Diane Sullivan is a Social Worker, Clinical based in North Attleboro, MA. Diane Sullivan practices in North Attleboro, MA and has the professional credentials of LICSW. The NPI Number for Diane Sullivan is 1790289338 and holds a License No. 114572 (MA). The current practice location address for Diane Sullivan is 72 Achilles Way, North Attleboro, MA 02763-4018 and can be reached out via phone at 508-838-7192.

Provider Profile Details

NPI Number
1790289338
Provider Name
Diane Sullivan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
72 Achilles Way, North Attleboro, MA 02763-4018
Phone Number
508-838-7192
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2018
Last Update Date
March 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Achilles Way
North Attleboro, MA 02763-4018
Zip
02763-4018
Phone Number
508-838-7192
North Attleboro, MA 02763Get directions →

Provider Business Mailing Address Details

Address
72 Achilles Way
North Attleboro, MA 02763-4018
City
North Attleboro
State
MA
Zip
02763-4018
Phone Number
508-838-7192

License Information

License Number
114572
License State
MA
Taxonomy
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 Diane Sullivan, LICSW?

The NPI number of Diane Sullivan, LICSW is 1790289338. It was assigned on March 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Diane Sullivan, LICSW?

Diane Sullivan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114572.

Where does Diane Sullivan, LICSW practice?

The practice location is 72 Achilles Way, North Attleboro, MA 02763-4018. The office can be reached at 508-838-7192 (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 1790289338 directly on the NPPES registry website.

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