Mr John Joseph Sullivan, MSW | |
114 Boston Post Rd, West Haven, CT 06516-2043 | |
(203) 931-4032 | |
(203) 931-4068 |
Full Name | Mr John Joseph Sullivan |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 114 Boston Post Rd, West Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194825331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Nuvance Health Medical Practice Ct Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
Mailing Address | Practice Location Address |
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Mr John Joseph Sullivan, MSW 466 Chipman Street Ext, Waterbury, CT 06708-3638 Ph: (203) 575-1155 | Mr John Joseph Sullivan, MSW 114 Boston Post Rd, West Haven, CT 06516-2043 Ph: (203) 931-4032 |
Ms. Melissa Ann Simone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 860-694-4875 Fax: 860-694-4018 | |
Marianne E Silva, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-465-6134 | |
Sarah Nicole Moran, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 415 Main St, West Haven, CT 06516 Phone: 203-931-1184 | |
Mr. Adam Blythe, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-904-3511 | |
Mrs. Rosemary Abbadessa Lettiero, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Va Connecticut Health Care System, 950 Campbell Avenue Social Work Office, West Haven, CT 06516 Phone: 203-932-5711 | |
Ms. Alesia Wellington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 Phone: 203-479-8000 | |
Ms. Shelby Bonini, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 Savin Ave Apt 75, West Haven, CT 06516 Phone: 203-214-4097 |