KELLY L SULLIVAN
NPI 1467786004
Social Worker - Clinical in Hyannis, MA

Active since September 30, 2009
105 PARK ST, HYANNIS, MA 02601(508) 771-9599(508) 771-1986 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Sullivan NPPES

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

KELLY L SULLIVAN (NPI 1467786004) is an individual clinical provider in Hyannis, Massachusetts and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1467786004
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY L SULLIVAN
Location Address105 PARK STHyannis, MA 02601-5205
Mailing Address79 Azalea DrHarwich, MA 02645-1723 · (774) 237-0017
Fax(508) 771-1986
Sole ProprietorNo
Enumeration DateSeptember 30, 2009
NPI 1467786004 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.
105 PARK ST, Hyannis, MA 02601

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.

Social Worker (Clinical)
105 PARK ST
HYANNIS, MA 02601
Nurse Practitioner (Adult Health)
105 PARK ST
HYANNIS, MA 02601
Physician Assistant
105 PARK ST
HYANNIS, MA 02601
Specialist
105 PARK ST
HYANNIS, MA 02601
Surgery
105 PARK ST
HYANNIS, MA 02601
Social Worker (Clinical)
105 PARK ST
HYANNIS, MA 02601
Family Medicine
105 PARK ST
HYANNIS, MA 02601
Registered Nurse (Community Health)
105 PARK ST
HYANNIS, MA 02601

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1467786004. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 105 Park St, Hyannis, MA 02601. The listed phone number is (508) 771-9599.

What is Kelly 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 Kelly Sullivan was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.