KELLY ANNE SULLIVAN LCSW
NPI 1528558046
Social Worker - Clinical in Jamaica Plain, MA

Active since May 10, 2018
3815 WASHINGTON ST, JAMAICA PLAIN, MA 02130(617) 983-5800 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2018, May 10, 2018 (2 updates tracked since 2018).

About Kelly Anne Sullivan Lcsw NPPES

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

KELLY ANNE SULLIVAN LCSW (NPI 1528558046) is an individual clinical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (000223873) and active in the NPI registry since May 2018. She maintains a secondary practice location in Roslindale.

NPPES Registry Identity

NPI1528558046
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANNE SULLIVANCredential: LCSW
Location Address3815 WASHINGTON STJamaica Plain, MA 02130
Mailing Address780 American Legion HwyRoslindale, MA 02131-3908 · (817) 676-4203
Sole ProprietorNo
Enumeration DateMay 10, 2018
Last NPPES UpdateJuly 23, 20182 updates tracked since enumeration
NPI 1528558046 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 · 000223873
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.
3815 WASHINGTON ST, Jamaica Plain, MA 02130

Secondary Practice Location 1

Location 1780 American Legion HwyRoslindale, MA 02131-3908 · Phone (617) 549-7577

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.

Counselor (Mental Health)
3815 WASHINGTON ST
BOSTON, MA 02130
Case Manager/Care Coordinator
3815 WASHINGTON ST
BOSTON, MA 02130
Social Worker (Clinical)
3815 WASHINGTON ST
JAMAICA PLAIN, MA 02130
Social Worker
3815 WASHINGTON ST, SUITE 2 ARBORETUM PLACE
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
3815 WASHINGTON ST
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
3815 WASHINGTON ST
JAMAICA PLAIN, MA 02130
Case Manager/Care Coordinator
3815 WASHINGTON ST
BOSTON, MA 02130
Social Worker (Clinical)
3815 WASHINGTON ST, SUITE #2
JAMAICA PLAIN, MA 02130

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 1528558046. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 3815 Washington St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-5800.

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 July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.