Individual provider Active NPI

Samantha O'Sullivan, LICSW

  • Clinical Social Worker
  • Foxboro, MA
National Provider Identifier
1124573159
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123787 Issued in MA
Practice address
132 Central St Ste 215
Foxboro, MA 02035-2463
Phone
(781) 570-3530
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 123787 MA Primary

Addresses

Primary practice location

132 Central St Ste 215
Foxboro, MA 02035-2463

Mailing address

132 Central St Ste 215
Foxboro, MA 02035-2463

Other practice location 1

220 Forbes Rd Ste 2204
Braintree, MA 02184-2705
Phone (781) 570-3530

Other practice location 2

3 Boulevard St Ste 1R
Milton, MA 02186-5400
Phone (781) 570-3530

Other practice location 3

300 Tradecenter Ste 1500
Woburn, MA 01801-7400
Phone (781) 570-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123787MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Psychology Group, LLC PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1124573159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CENTRAL ST STE 215",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CENTRAL ST STE 215",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352463",
            "telephone_number": "781-570-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Forbes Rd Ste 2204",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842705",
            "country_code": "US",
            "telephone_number": "781-570-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Boulevard St Ste 1R",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021865400",
            "country_code": "US",
            "telephone_number": "781-570-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Tradecenter Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018017400",
            "country_code": "US",
            "telephone_number": "781-570-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "SAMANTHA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.