Mrs Kelli Ann Sullivan, LICSW is a
Social Worker - Clinical based in Middleton, Massachusetts. Mrs Kelli Ann Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is
37 Central St, Middleton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 223-3272.
NPI number for Mrs Kelli Ann Sullivan is 1407075989 and her current mailing address is 37 Central St, Middleton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407075989.
Healthcare Provider's Profile
Full Name | Mrs Kelli Ann Sullivan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 37 Central St, Middleton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407075989
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 11/17/2021
Medical Identifiers
Medical identifiers for Mrs Kelli Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407075989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 114135 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelli Ann Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelli Ann Sullivan, LICSW 37 Central St, Middleton, MA 01949-1716 Ph: (978) 223-3272 | Mrs Kelli Ann Sullivan, LICSW 37 Central St, Middleton, MA 01949-1716 Ph: (978) 223-3272 |
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