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MS. KIMBERLY ANN SULLIVAN MSW,LICSW,LADC
NPI 1275564478
Social Worker - Clinical in Melrose, MA

Active since July 05, 2006PECOS Enrolled
1 W FOSTER ST, 3RD FLOOR, MELROSE, MA 02176(781) 308-0868(781) 665-0027 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Ann Sullivan Msw,licsw,ladc NPPES

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

MS. KIMBERLY ANN SULLIVAN MSW,LICSW,LADC (NPI 1275564478) is an individual clinical provider in Melrose, Massachusetts, licensed in Massachusetts (1023679) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275564478
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIMBERLY ANN SULLIVANCredential: MSW,LICSW,LADC
Location Address1 W FOSTER ST, 3RD FLOORMelrose, MA 02176-3810
Mailing Address1 W Foster St, 3rd FloorMelrose, MA 02176-3810 · (781) 308-0868 · Fax (781) 665-0027
Phone(781) 308-0868
Fax(781) 665-0027
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1275564478 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 · 1023679
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.
1 W FOSTER ST, Melrose, MA 02176
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Other Names 1

Former Name (1)Kimberly Russo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Ann Sullivan Msw,licsw,ladc 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 02176 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 11

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

MRS. LYNNE K REVENO RN CNS
Registered Nurse (Psychiatric/Mental Health, Adult)
1 W FOSTER ST
MELROSE, MA 02176
Middlesex County (617) 957-7944
MR. PATRICK JOSEPH COLBERT APRN, CS
Clinical Nurse Specialist (Psychiatric/Mental Health)
1 W FOSTER ST, SUITE 213
MELROSE, MA 02176
Middlesex County (781) 662-1880
DR. ROGER R DAVIES SCD.
Psychologist (Clinical)
1 W FOSTER ST, SUITE 10
MELROSE, MA 02176
Middlesex County (617) 306-9095
GRANDVIEW PSYCHOLOGICAL SERVICES, LLC
Psychologist (Clinical)
1 W FOSTER ST, SUITE 10
MELROSE, MA 02176
Middlesex County (617) 306-9095
DR. ERNA SALLY ROGERS SC.D.
Psychologist
1 W FOSTER ST
MELROSE, MA 02176
Middlesex County (617) 306-1662
MS. TERESE J TRAFAS MSW LICSW
Social Worker (Clinical)
1 W FOSTER ST, 2ND FLOOR
MELROSE, MA 02176
Middlesex County (617) 661-2965
MARK DEYAB LICSW INC
Social Worker (Clinical)
1 W FOSTER ST, 3RD FLOOR
MELROSE, MA 02176
Middlesex County (781) 799-3949
MARY-HELENA MCINERNEY
Counselor (Mental Health)
1 W FOSTER ST, 2ND FLOOR
MELROSE, MA 02176
Middlesex County (781) 558-0020

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 Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1275564478. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Kimberly Russo.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 1 W Foster St 3rd Floor, Melrose, MA 02176. The listed phone number is (781) 308-0868.

What is Kimberly Sullivan's specialty?

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

Is Kimberly Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Sullivan was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.