Mr. James M Sullivan, LICSW #114273
Counselor, Addiction (Substance Use Disorder) in Kingston, Massachusetts
1831297670- Practice location
- 28 Ocean Hill Dr, Kingston, MA 02334
- Phone
- 617-910-6078
- Fax
- 617-275-8772
- Last updated
- October 30, 2012
James M Sullivan is a Counselor, Addiction (Substance Use Disorder) based in Kingston, MA. James M Sullivan practices in Kingston, MA and has the professional credentials of LICSW #114273. The NPI Number for James M Sullivan is 1831297670 and holds a License No. 213178 (MA). The current practice location address for James M Sullivan is 28 Ocean Hill Dr, Kingston, MA 02334 and can be reached out via phone at 617-910-6078 and via fax at 617-275-8772.
Provider Profile Details
- NPI Number
- 1831297670
- Provider Name
- James M Sullivan
- Credential
- LICSW #114273
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 28 Ocean Hill Dr, Kingston, MA 02334
- Phone Number
- 617-910-6078
- Fax Number
- 617-275-8772
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- October 30, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Ocean Hill Dr
Kingston, MA 02334 - City
- Kingston
- State
- Massachusetts
- Zip
- 02334
- Phone Number
- 617-910-6078
- Fax Number
- 617-275-8772
Provider Business Mailing Address Details
- Address
- 28 Ocean Hill Dr
Kingston, MA 02334 - City
- Kingston
- State
- MA
- Zip
- 02334
- Phone Number
- 617-910-6078
- Fax Number
- 617-275-8772
License Information
- License Number (1)
- 213178
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 114273
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (3)
- 114273
- License State (3)
- MA
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. James M Sullivan, LICSW #114273?
The NPI number of Mr. James M Sullivan, LICSW #114273 is 1831297670. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. James M Sullivan, LICSW #114273?
Mr. James M Sullivan, LICSW #114273 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 213178.
Where does Mr. James M Sullivan, LICSW #114273 practice?
The practice location is 28 Ocean Hill Dr, Kingston, MA 02334. The office can be reached at 617-910-6078 (phone) or 617-275-8772 (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 1831297670 directly on the NPPES registry website.