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: July 19, 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.Information from the official NPPES registry record.

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
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

Other Names 1

Former Name (1)Kimberly Russo

Medicare Participation & PECOS Enrollment Status

Kimberly 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).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02176 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MS. KIMBERLY ANN SULLIVAN MSW,LICSW,LADC

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1 W FOSTER ST, SUITE 10
MELROSE, MA 02176
Social Worker (Clinical)
1 W FOSTER ST, 2ND FLOOR
MELROSE, MA 02176
Registered Nurse (Psychiatric/Mental Health, Adult)
1 W FOSTER ST
MELROSE, MA 02176
Clinical Nurse Specialist (Psychiatric/Mental Health)
1 W FOSTER ST, SUITE 213
MELROSE, MA 02176
Specialist
1 W FOSTER ST, SUITE 12
MELROSE, MA 02176
Psychologist (Clinical)
1 W FOSTER ST, SUITE 10
MELROSE, MA 02176
Social Worker (Clinical)
1 W FOSTER ST
MELROSE, MA 02176
Social Worker (Clinical)
1 W FOSTER ST, 3RD FLOOR
MELROSE, MA 02176
Social Worker (Clinical)
1 W FOSTER ST, SUITE 5
MELROSE, MA 02176
Counselor (Mental Health)
1 W FOSTER ST, 2ND FLOOR
MELROSE, MA 02176
Psychologist
1 W FOSTER ST
MELROSE, MA 02176
Nurse Practitioner (Psychiatric/Mental Health)
1 W FOSTER ST
MELROSE, MA 02176

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275564478, enumerated as an "individual" on July 05, 2006.

The provider is located at 1 W FOSTER ST 3RD FLOOR MELROSE, MA 02176 and the phone number is (781) 308-0868.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.