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ANN L SULLIVAN LICSW NPI 1881672525


NPI Information

NPI: 1881672525
Provider Name: ANN L SULLIVAN, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
630 PLANTATION ST
WORCESTER, MA
ZIP 01605
Phone: (508) 595-2041
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Ann L Sullivan, LICSW is a social worker in Worcester, MA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Ann L Sullivan, LICSW NPI is 1881672525. 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:

630 PLANTATION ST
WORCESTER, MA
ZIP 01605
Phone: (508) 595-2041
Fax: (508) 853-7149

The enumeration date for this NPI number is 1/4/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker208779MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12172099OTHERCIGNA HEALTH PLAN
22044474OTHERFIRST HEALTH
3042472266008OTHERTRICARE CHAMPUS
434530OTHERFALLON COMMUNITY HEALTH P
504247226OTHERONE HEALTH PLAN
6P22719MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
7788379OTHERMVP HEALTH CARE
8P22719OTHERMEDICARE B

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.