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MS. JENNIFER KIELY SULLIVAN LICSW
NPI 1699838730
Social Worker - Clinical in Lexington, MA

Active since December 19, 2006
1040 WALTHAM STREET, LEXINGTON, MA 02421(781) 862-3600(781) 860-7636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Kiely Sullivan Licsw NPPES

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

MS. JENNIFER KIELY SULLIVAN LICSW (NPI 1699838730) is an individual clinical provider in Lexington, Massachusetts, licensed in Massachusetts (111455) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1699838730
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER KIELY SULLIVANCredential: LICSW
Location Address1040 WALTHAM STREETLexington, MA 02421-8033
Mailing Address1040 Waltham StreetLexington, MA 02421-8033 · (781) 862-3600 · Fax (781) 860-7636
Phone(781) 862-3600
Fax(781) 860-7636
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699838730 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 · 111455
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.
1040 WALTHAM STREET, Lexington, MA 02421
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Other Names 1

Former Name (1)Ms. Jennifer Helen Kiely

Other Identifiers 6

OtherM18633MA · Bcbc
OtherNP01332MA · Bmc
Other703136MA · Tufts
Other1004745MA · Nhp
Medicaid1303287MA
Other1303287MA · Mbhp

Other Providers at the Same Location NPPES 12

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

PAUL PHILLIP HERBERT MS CAGS
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
MR. MICHAEL LAWRENCE MA
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
CARLEY DEAN LUBARSKY LICSW
Social Worker (Clinical)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
MS. MARTHA CONANT MA
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
MS. KARI LYNN LEFORT MSW
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
OLIVER JAMIE TURAY MED
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
KAREN BUTLER MSW
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
ROBERT FRANCIS BROWN BA JD
Counselor (Mental Health)
1040 WALTHAM STREET
LEXINGTON, MA 02421
Middlesex County (781) 862-3600

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 Jennifer Kiely Sullivan's NPI number?

The NPI number for Jennifer Kiely Sullivan is 1699838730. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Ms. Jennifer Helen Kiely.

Where is Jennifer Kiely Sullivan located?

Jennifer Kiely Sullivan practices at 1040 Waltham Street, Lexington, MA 02421. The listed phone number is (781) 862-3600.

What is Jennifer Kiely 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 Jennifer Kiely Sullivan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.