MS. KATHLEEN ELLEN SULLIVAN


Address: 16 Lincoln St., Suite C, Brunswick, ME 04032
Phone: 2074002454

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).

Provider Overview

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

Taxonomy

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

Other Providers KATHLEEN SULLIVAN

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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

Office Location

Street Address 16 LINCOLN ST.
SUITE C
City BRUNSWICK
State ME
Zip Code 04032

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BRUNSWICK
Zip Code 04032

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Dataset Information

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.

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