Patricia Sullivan Jane Sullivan, LICSW is a
Social Worker - Clinical based in Fall River, Massachusetts. Patricia Sullivan Jane Sullivan is licensed to practice in Massachusetts (license number 1025888) and her current practice location is
456 Rock St, Fall River, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 789-1194.
NPI number for Patricia Sullivan Jane Sullivan is 1831263847 and her current mailing address is 456 Rock St, Fall River, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831263847.
Healthcare Provider's Profile
Full Name | Patricia Sullivan Jane Sullivan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 456 Rock St, Fall River, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831263847
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 06/07/2013
Medical Identifiers
Medical identifiers for Patricia Sullivan Jane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831263847 | NPI | - | NPPES |
1859218 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 975 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 1025888 (Massachusetts) | 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. Patricia Sullivan Jane 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 |
Patricia Sullivan Jane Sullivan, LICSW 456 Rock St, Fall River, MA 02720-3343 Ph: (508) 789-1194 | Patricia Sullivan Jane Sullivan, LICSW 456 Rock St, Fall River, MA 02720-3343 Ph: (508) 789-1194 |
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