PATRICIA M SULLIVAN


Address: 29 Welgate Rd, Medford, MA 02155-2150
Phone: 7816082482

PATRICIA M SULLIVAN (NPI# 1578129623) 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) 1578129623
Entity Type Individual
Full Name PATRICIA M SULLIVAN
Credential LICSW
Practice Address 29 Welgate Rd
Medford
MA 02155-2150
Practice Telephone 7816082482
Practice Fax Number 7814833058
Mailing Telephone 7816082482
Mailing Fax Number 7814833058
Enumeration Date 2019-05-14
Last Update Date 2019-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW-1029150 MA Behavioral Health & Social Service Providers

Other Providers PATRICIA SULLIVAN

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1659658631 Patricia Sullivan Licensed Practical Nurse 3 Wooded Way, Calverton, NY 11933-9700 2011-11-04
1467783613 Patricia A Sullivan Registered Nurse 2569 Morningstar Rd, Manasquan, NJ 08736-2221 2010-01-27
1770780843 Patricia Anne Sullivan Dentist 3720 Nw 43rd St, Suite 102, Gainesville, FL 32606-6190 2007-07-02
1467657072 Patricia Mary Sullivan Dietitian, Registered 6083 Hamilton Boulevard, Wescosville, PA 18106 2007-06-15
1699978825 Patricia Sullivan Counselor 1122 Riverside Ave, Somerset, MA 02726-2840 2007-06-06
1427269562 Patricia Ann Sullivan Nurse Practitioner 24 Gardner Ave, Middletown High School, Middletown, NY 10940-3240 2007-05-24
1598822538 Patricia A Sullivan Speech-Language Pathologist 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 2007-01-02
1639233786 Patricia Pauline Sullivan Social Worker 1864 E Us 23, Suite B, East Tawas, MI 48730-9349 2006-12-21

Office Location

Street Address 29 WELGATE RD
City MEDFORD
State MA
Zip Code 02155-2150

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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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
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1962053348 Monica Lorraine Schlie Social Worker 18 Forrest Ave, Medford, NY 11763-2609 2019-09-26
1013483841 Howard David Harris Social Worker 259 Park St - Apt. 2, Medford, MA 02155-2666 2018-10-19
1871078469 Lorraine Lafata Social Worker 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 2018-09-28
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1184108292 Nancy Ann Woodfork Social Worker 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 2018-09-24
1295218758 Julia Dennon Wise Social Worker 17 Wyman St, Medford, MA 02155-3401 2018-09-11
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1932680840 Shreya Bansal Social Worker 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 2018-08-28
1710468947 Joan Mary Lemler Social Worker 56 Farragut Ave, Medford, MA 02155-4012 2018-08-26
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Competitor

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City MEDFORD
Zip Code 02155

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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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