SUSAN SULLIVAN L.I.C.S.W.
NPI 1417258302
Social Worker - Clinical in West Springfield, MA

Active since November 08, 2010
59 INTERSTATE DR STE 10, WEST SPRINGFIELD, MA 01089(774) 206-1125 Get Directions Write a Review

NPPES record last updated: December 18, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Sullivan L.i.c.s.w. NPPES

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

SUSAN SULLIVAN L.I.C.S.W. (NPI 1417258302) is an individual clinical provider in West Springfield, Massachusetts, licensed in Massachusetts (216664) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1417258302
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN SULLIVANCredential: L.I.C.S.W.
Location Address59 INTERSTATE DR STE 10West Springfield, MA 01089-5100
Mailing Address96 South StWare, MA 01082-1616 · (413) 967-6241
Sole ProprietorNo
Enumeration DateNovember 8, 2010
Last NPPES UpdateDecember 18, 2022
NPPES CertifiedDecember 18, 2022
NPI 1417258302 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 · 216664
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.
59 INTERSTATE DR STE 10, West Springfield, MA 01089

Other Identifiers 1

Medicaid1300881MA

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 Susan Sullivan's NPI number?

The NPI number for Susan Sullivan is 1417258302. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Where is Susan Sullivan located?

Susan Sullivan practices at 59 Interstate Dr Ste 10, West Springfield, MA 01089. The listed phone number is (774) 206-1125.

What is Susan Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Sullivan was last updated on December 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.