Suming Sullivan, Licsw, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUMING SULLIVAN, LICSW, LLC

Practice address

661 Massachusetts Ave Ste 21
Arlington, MA 02476-5001

Phone

(617) 512-8102

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Suming Chin Sullivan, LICSWNPI 1326460320

Title

Licsw, Owner

Phone

(617) 512-8102

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suming Sullivan, LICSW

  • Clinical Social Worker
  • Arlington, MA
  • NPI 1326460320
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1427632868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 21",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "617-512-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 21",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "617-512-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMING SULLIVAN, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SUMING",
        "authorized_official_middle_name": "CHIN",
        "authorized_official_title_or_position": "LICSW, OWNER",
        "authorized_official_telephone_number": "617-512-8102",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326460320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Stubeda-Kingman, PT
• Elizabeth Sullivan
• Mark A Sullivan, M.D.
• Patricia Sullivan, LMHC
• Suming Sullivan, LICSW
• Dey Kuempel Summer, LMT
• XI Sun, DMD
• Sunstone Psychology Group
• Susan F Mahoney Pmhcns Psychiatric/Mental Health Care LLC
• Sustainable Wellness Therapies LLC

• Community/Behavioral Health Agency in Arlington, MA
• Providers in Arlington, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.