Individual provider Active NPI

Anna Frances Sullivan, LCSW

  • Clinical Social Worker
  • Easton, CT
National Provider Identifier
1003432139
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12922 Issued in CT
Practice address
38 Jesse Lee Dr
Easton, CT 06612-1840
Phone
(203) 312-3889
NPI assigned
Jun 24, 2020
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12922 CT Primary

Addresses

Primary practice location

38 Jesse Lee Dr
Easton, CT 06612-1840

Mailing address

38 Jesse Lee Dr
Easton, CT 06612-1840
Phone (203) 312-7369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000691 CT Practitioner - Clinical Social Worker 9133581309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of Fairfield County IncGroup PAC ID 8527955970, 7 clinicians

Practice addresses (Care Compare)

405 Main St
Danbury, CT 06810-4710
Phone (203) 743-4412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County Inc CurrentSince Aug 1, 2023 Accepting new patients
Catholic Charities of Fairfield County, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Annie Sullivan LCSW LLC Clinical Past Accepting new patients

Locations

405 Main St
Danbury, CT 06810
Phone (203) 416-1503

Interoperability endpoints

  • Direct secure messaging: anna.sullivan.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1003432139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 JESSE LEE DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121840",
            "telephone_number": "203-312-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 JESSE LEE DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121840",
            "telephone_number": "203-312-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNA",
        "middle_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, CT

Sources for this page

Verify at the official NPI Registry.