MS. KATHLEEN MARY SULLIVAN-SMITH MSW
NPI 1194255067
Social Worker - Clinical in Leominster, MA

Q: What is Kathleen Sullivan-smith's NPI number?

The NPI number for Kathleen Sullivan-smith is 1194255067. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Kathleen Sullivan-smith's specialty?

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

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment

100 ERDMAN WAY, LEOMINSTER, MA 01453(978) 466-8384(978) 537-3496 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kathleen Mary Sullivan-smith Msw NPPES

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

MS. KATHLEEN MARY SULLIVAN-SMITH MSW (NPI 1194255067) is an individual clinical provider in Leominster, Massachusetts and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1194255067

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KATHLEEN MARY SULLIVAN-SMITHCredential: MSW

Location Address100 ERDMAN WAYLeominster, MA 01453-1804

Mailing Address100 Erdman Way, Lipton Center For School Based ServicesLeominster, MA 01453 · (978) 466-8384 · Fax (978) 537-3496

Phone(978) 466-8384

Fax(978) 537-3496

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJune 14, 2017

✔ NPI 1194255067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

100 ERDMAN WAY, Leominster, MA 01453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen Mary Sullivan-smith Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678921145

PECOS Enrollment IDI20231121002843

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 01453 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 $58.86 – $177.36

Typical copayment $0.00 (range $14.71 – $44.34)

Most-billed visit code NA

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

MRS. CONSTANCE ALLYN WILLIAMS OTR

Occupational Therapist