MRS. ANN THERESE SULLIVAN LICSW NPI 1417034414

NPI Information

NPI: 1417034414
Provider Name: MRS. ANN THERESE SULLIVAN, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
559 WILLARD ST
BAYVIEW/SOUTHSHOREMENTALHEALTH
QUINCY, MA
ZIP 02169
Phone: (617) 689-2531
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MRS. Ann Therese Sullivan, LICSW is a mental health counselor in Quincy, MA with 40 years of experience. MRS. Ann Therese Sullivan, LICSW NPI is 1417034414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

559 WILLARD ST
BAYVIEW/SOUTHSHOREMENTALHEALTH
QUINCY, MA
ZIP 02169
Phone: (617) 689-2531

The NPI 1417034414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	106936	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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