MS. KATHLEEN ELLEN SULLIVAN (NPI# 1497851885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497851885 |
Entity Type | Individual |
Full Name | MS. KATHLEEN ELLEN SULLIVAN |
Credential | LCSW |
Practice Address |
16 Lincoln St. Suite C Brunswick ME 04032 |
Mailing Address |
P.o. Box 523 Freeport ME 04032 |
Practice Telephone | 2074002454 |
Mailing Telephone | 2078656695 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2015-10-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
#469 | ME | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LC469 | ME | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265890909 | Kathleen Sullivan | Clinical Nurse Specialist | 2040 9th Ave, # C, Honolulu, HI 96816-2952 | 2016-02-09 |
1871907006 | Kathleen E Sullivan | Behavioral Analyst | 118 35th St, Bellingham, WA 98225-6053 | 2014-06-16 |
1285057687 | Kathleen Sullivan | Registered Nurse | 2380 Timbercrest Cir W, Clearwater, FL 33763-1624 | 2014-01-22 |
1538436555 | Kathleen Sullivan | Speech-Language Pathologist | 301 Charlotte Ave, Hamburg, NY 14075-3857 | 2011-11-18 |
1396023388 | Kathleen T Sullivan | Occupational Therapist | 6678 County Road 32, Norwich, NY 13815-3554 | 2011-07-26 |
1912204322 | Kathleen Ann Sullivan | Speech-Language Pathologist | 3043 State Route 48, Oswego, NY 13126-5733 | 2011-02-21 |
1790938694 | Kathleen Scarlett Sullivan | Marriage & Family Therapist | 3851 Rosecrans St Ste K-08, San Diego, CA 92110-3115 | 2008-10-23 |
1639320336 | Kathleen Connelly Sullivan | Physician Assistant | 2 Fogg Rd, Weymouth, MA 02190 | 2008-10-01 |
1306095955 | Kathleen M. Sullivan | Nurse Practitioner | 20511 Sunset Ln, Lago Vista, TX 78645-6245 | 2008-09-18 |
1356518492 | Kathleen C Sullivan | Licensed Practical Nurse | 340 Vincent St., Syracuse, NY 13210-3712 | 2008-05-08 |
Street Address |
16 LINCOLN ST. SUITE C |
City | BRUNSWICK |
State | ME |
Zip Code | 04032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
1104872639 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 200 Lower Main St, Freeport, ME 04032 | 2006-05-26 |
Find all providers in zip 04032 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528697216 | Emily Barb | Social Worker | 1216 Younkins Dr, Brunswick, MD 21716-9752 | 2020-04-03 |
1801387295 | Allyson Christianson | Social Worker | 1115 Sycamore Ave, Brunswick, GA 31520-7440 | 2018-05-22 |
1811406440 | Lauren Burleigh | Social Worker | 6 Federal St, Brunswick, ME 04011-1508 | 2017-09-27 |
1699222828 | Laura Young | Social Worker | 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 | 2016-09-06 |
1427414721 | Katherine Moeller | Social Worker | 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 | 2016-01-04 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1396096533 | Katrina Renee Chisholm | Social Worker | 1 Youth Estate Dr, Brunswick, GA 31525-7206 | 2012-09-27 |
1417210105 | Justin C Trozzi | Social Worker | 37 Mill St # 7, Brunswick, ME 04011-1914 | 2012-06-19 |
1073873725 | N. Katherine Webb, Inc. | Social Worker | 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 | 2012-05-29 |
Find all providers in BRUNSWICK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.