ERIN ELIZABETH SULLIVAN NPI 1003007212
Social Worker (Clinical) in Brockton, MA
NPI Profile for ERIN ELIZABETH SULLIVAN
Erin Sullivan is a provider established in Brockton, Massachusetts and her medical specialization is social worker (clinical) . The NPI number of Erin Sullivan is 1003007212 and was assigned on August 2007. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
A clinical social worker like Erin Elizabeth Sullivan is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Erin Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)..
Erin Sullivan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003007212 |
| Provider Name | ERIN ELIZABETH SULLIVAN |
| Provider Location Address | 940 BELMONT ST BROCKTON, MA 02301 |
| Provider Mailing Address | 46 SERINO WAY SAUGUS, MA 01906 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-05-2007 |
| Last Update Date | 08-14-2007 |
Primary Taxonomy
| Taxonomy Code | 1041C0700X |
| Classification | Social Worker |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| Taxonomy Description | 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. |
Business Address
ERIN ELIZABETH SULLIVAN
940 BELMONT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 583-4500
Mailing Address
ERIN ELIZABETH SULLIVAN
46 SERINO WAY
SAUGUS, MA
ZIP 01906
Phone: (617) 953-0257
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | No |
| Eligible order / refer Power Mobility Devices | No |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | No | |||
Taxonomy Description: a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. | |||||||
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 7 | 2 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 14 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 2 + 2 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003007212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760441166 | CHERI LEONARD PA-C Individual | Physician Assistant (Medical) | 940 BELMONT ST DEPARTMENT 127 BROCKTON, MA 02301 (774) 826-2176 |
| 1356301329 | MR. DENNI J. WOODMANSEE PA-C Individual | Physician Assistant | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2035 |
| 1700841764 | MS. NANCY ELIZABETH GENDREAU NP Individual | Nurse Practitioner (Gerontology) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1174572721 | DR. JOHN C BRADLEY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (617) 981-2109 |
| 1720031651 | MARYLOU GREGORY-LEE NP Individual | Nurse Practitioner | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2769 |
| 1083669972 | MS. EILEEN NANCY WILMARTH-GUERETTE RN Individual | Nurse Practitioner (Primary Care) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386682961 | MS. ELLEN ELIZABETH ENDRES RNP Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST PRIMARY CARE CLINIC (11A) BROCKTON, MA 02301 (508) 583-4500 |
| 1912948027 | PATRICIA MARIAN O'SHEA RNP Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST 116A5 BROCKTON, MA 02301 (508) 583-4500 |
| 1013944388 | MRS. TRUDY ROSE RADVILLE OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1316978653 | JANICE MAKARCHUK Individual | Dietitian, Registered | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1439 |
| 1366475428 | MRS. CAROLYN MARGRETTA SHAKUR PT Individual | Physical Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1801816459 | MRS. CATHERINE F. CAHILL RD Individual | Dietitian, Registered | 940 BELMONT ST NUTRITION & FOOD SERVICE (120) BROCKTON, MA 02301 (774) 826-1910 |
| 1386664043 | MRS. PATRICIA MARIE COLLINS RD, CDE Individual | Dietitian, Registered (Nutrition, Metabolic) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-4000 |
| 1972523074 | MR. DAVID FRANK MARSZALEK OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON VAMC-BLDG 4, ROOM A204 BROCKTON, MA 02301 (508) 583-4500 |
| 1700806635 | DR. JUMAN CAROL HIJAB MD Individual | Family Medicine | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1366458424 | MS. ANNMARIE FREDERICKS N.P. Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2889 |
| 1790795003 | DR. LOUISE BONNIE GRAHAM PH.D. Individual | Psychologist (Counseling) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386655108 | DR. KYUNG H LEE M.D Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2588 |
| 1023020559 | MR. EDWARD FRANCIS MCCORMACK KINESIOTHERAPIST Individual | Kinesiotherapist | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1852 |
| 1336252956 | DR. KEVIN C TOOLIN O.D Individual | Optometrist | 940 BELMONT ST VA BROCKTON EYE CLINIC BROCKTON, MA 02301 (508) 583-4500 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Erin Elizabeth Sullivan is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.