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MRS. JENNIFER MARIE SULLIVAN-BRUNAULT LICSW
NPI 1750650487
Social Worker - Clinical in Agawam, MA

Active since December 27, 2011
335 WALNUT ST. EXTENSION, SUITE 200, AGAWAM PROFESSIONAL CENTER, AGAWAM, MA 01001(413) 789-8955(413) 789-0557 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jennifer Marie Sullivan-brunault Licsw NPPES

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

MRS. JENNIFER MARIE SULLIVAN-BRUNAULT LICSW (NPI 1750650487) is an individual clinical provider in Agawam, Massachusetts, licensed in Massachusetts (113195) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1750650487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JENNIFER MARIE SULLIVAN-BRUNAULTCredential: LICSW
Location Address335 WALNUT ST. EXTENSION, SUITE 200, AGAWAM PROFESSIONAL CENTERAgawam, MA 01001-1524
Mailing Address335 Walnut St. Extension, Suite 200, Agawam Professional CenterAgawam, MA 01001-1524 · (413) 789-8955 · Fax (413) 789-0557
Phone(413) 789-8955
Fax(413) 789-0557
Sole ProprietorNo
Enumeration DateDecember 27, 2011
✔ NPI 1750650487 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 · 113195
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.
335 WALNUT ST. EXTENSION, SUITE 200, Agawam, MA 01001
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Other Names 1

Other Name (5)Miss Jennifer Marie Sullivan Licsw

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 Sullivan-brunault's NPI number?

The NPI number for Jennifer Sullivan-brunault is 1750650487. It was assigned to this individual provider in the NPPES registry on December 27, 2011. The provider is also known as Miss Jennifer Marie Sullivan Licsw.

Where is Jennifer Sullivan-brunault located?

Jennifer Sullivan-brunault practices at 335 Walnut St. Extension, Suite 200 Agawam Professional Center, Agawam, MA 01001. The listed phone number is (413) 789-8955.

What is Jennifer Sullivan-brunault'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 Sullivan-brunault was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.