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MS. KENNA M. SULLIVAN LICSW
NPI 1942410402
Social Worker - Clinical in Brighton, MA

Active since May 23, 2007
692 WASHINGTON ST, BRIGHTON, MA 02135(617) 312-8067(617) 254-9479 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Apr 26, 2024 (2 updates tracked since 2024).

About Ms. Kenna M. Sullivan Licsw NPPES

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

MS. KENNA M. SULLIVAN LICSW (NPI 1942410402) is an individual clinical provider in Brighton, Massachusetts, licensed in Massachusetts (107098) and active in the NPI registry since May 2007. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1942410402
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KENNA M. SULLIVANCredential: LICSW
Location Address692 WASHINGTON STBrighton, MA 02135-1537
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690
Phone(617) 312-8067
Fax(617) 254-9479
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1942410402 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 · 107098
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.
692 WASHINGTON ST, Brighton, MA 02135
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Secondary Practice Location 1

Location 11 Boston Medical Ctr PlBoston, MA 02118-2908 · Phone (617) 414-5245

Other Identifiers 2

Medicaid1854526MA
Other62-00541MA · Evercare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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 Kenna Sullivan's NPI number?

The NPI number for Kenna Sullivan is 1942410402. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kenna Sullivan located?

Kenna Sullivan practices at 692 Washington St, Brighton, MA 02135. The listed phone number is (617) 312-8067.

What is Kenna Sullivan's specialty?

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

What insurance does Kenna Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kenna Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenna Sullivan was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.