ERIN ELIZABETH SULLIVAN NPI 1003007212

Social Worker (Clinical) in Brockton, MA

NPI 1003007212 Individual Female Social Worker Clinical PECOS Enrolled

About ERIN 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 14 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 healthcare 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 Address940 BELMONT ST BROCKTON, MA 02301
Provider Mailing Address46 SERINO WAY SAUGUS, MA 01906
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-05-2007
Last Update Date08-14-2007


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
Taxonomy DescriptionA 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

Get Directions


Mailing Address

ERIN ELIZABETH SULLIVAN
46 SERINO WAY
SAUGUS, MA
ZIP 01906
Phone: (617) 953-0257



Medicare Participation

Registered in PECOS? Yes 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.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

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
1104100000XBehavioral Health & Social Service ProvidersSocial WorkerNo

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.

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
1356301329MR. DENNI J. WOODMANSEE PA-C
Individual
Physician Assistant940 BELMONT ST
BROCKTON, MA 02301
(774) 826-2035
1700841764MS. NANCY ELIZABETH GENDREAU NP
Individual
Nurse Practitioner (Gerontology)940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1174572721DR. 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 Practitioner940 BELMONT ST
BROCKTON, MA 02301
(774) 826-2769
1083669972MS. EILEEN NANCY WILMARTH-GUERETTE RN
Individual
Nurse Practitioner (Primary Care)940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1700823416 DALE P CARTER M.D.
Individual
Psychiatry & Neurology (Psychiatry)940 BELMONT ST BROCKTON VA MED CENTER
BROCKTON, MA 02301
(774) 826-3720
1386682961MS. 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
1013944388MRS. TRUDY ROSE RADVILLE OTR/L
Individual
Occupational Therapist940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1316978653 JANICE MAKARCHUK
Individual
Dietitian, Registered940 BELMONT ST
BROCKTON, MA 02301
(774) 826-1439
1366475428MRS. CAROLYN MARGRETTA SHAKUR PT
Individual
Physical Therapist940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1801816459MRS. CATHERINE F. CAHILL RD
Individual
Dietitian, Registered940 BELMONT ST NUTRITION & FOOD SERVICE (120)
BROCKTON, MA 02301
(774) 826-1910
1386664043MRS. PATRICIA MARIE COLLINS RD, CDE
Individual
Dietitian, Registered (Nutrition, Metabolic)940 BELMONT ST
BROCKTON, MA 02301
(774) 826-4000
1972523074MR. DAVID FRANK MARSZALEK OTR/L
Individual
Occupational Therapist940 BELMONT ST BROCKTON VAMC-BLDG 4, ROOM A204
BROCKTON, MA 02301
(508) 583-4500
1700806635DR. JUMAN CAROL HIJAB MD
Individual
Family Medicine940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1366458424MS. ANNMARIE FREDERICKS N.P.
Individual
Nurse Practitioner (Adult Health)940 BELMONT ST
BROCKTON, MA 02301
(774) 826-2889
1790795003DR. LOUISE BONNIE GRAHAM PH.D.
Individual
Psychologist (Counseling)940 BELMONT ST
BROCKTON, MA 02301
(508) 583-4500
1386655108DR. KYUNG H LEE M.D
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)940 BELMONT ST
BROCKTON, MA 02301
(774) 826-2588
1023020559MR. EDWARD FRANCIS MCCORMACK KINESIOTHERAPIST
Individual
Kinesiotherapist940 BELMONT ST
BROCKTON, MA 02301
(774) 826-1852

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
The code describing 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.