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MR. DANIEL T SULLIVAN LICSW
NPI 1124235734
Social Worker - Clinical in South Boston, MA

Active since May 16, 2007PECOS Enrolled
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Daniel T Sullivan Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DANIEL T SULLIVAN LICSW (NPI 1124235734) is an individual clinical provider in South Boston, Massachusetts, licensed in Massachusetts (115114) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124235734
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DANIEL T SULLIVANCredential: LICSW
Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406
Mailing Address58 Old Colony AveSouth Boston, MA 02127-2406 · (617) 268-1700 · Fax (617) 268-1991
Phone(617) 268-1700
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateJune 7, 2011
✔ NPI 1124235734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 115114
Definition
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.
58 OLD COLONY AVE, South Boston, MA 02127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Daniel T Sullivan Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROBERTA REICH L.M.H.C.
Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
BLAKE RITTER
Nurse Practitioner (Psychiatric/Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOHN AUGUSTUS NORTHRIDGE LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOANNA BENGEL
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MS. JULIA TADDONIO
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MS. MARIE T RAPAZZINI APRN,BC
Registered Nurse (Psychiatric/Mental Health, Adult)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MRS. MARY ELIZABETH KELLEHER LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
DR. JAMES ALLAN GARDNER, JR. PHD LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1124235734. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Daniel Sullivan located?

Daniel Sullivan practices at 58 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-1700.

What is Daniel Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Daniel Sullivan enrolled in Medicare?

Yes. Daniel Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Daniel Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.