Individual provider Active NPI

Alison Sullivan

  • Clinical Social Worker
  • East Sandwich, MA
National Provider Identifier
1437255015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106824 Issued in MA
Practice address
33 Atkins Rd
East Sandwich, MA 02537-1474
Phone
(508) 888-7026
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 106824 MA Primary

Addresses

Primary practice location

33 Atkins Rd
East Sandwich, MA 02537-1474

Mailing address

33 Atkins Rd
East Sandwich, MA 02537-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080808000100 MA Practitioner - Clinical Social Worker 8224102231 Reassigns benefits to 1 organization
Practice locations: Newton, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106824MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Healthcare Inc CurrentSince Jan 1, 2010 Accepting new patients

Locations

1600 Providence Hwy
#167
Walpole, MA 02081
Phone (508) 660-7949

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437255015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ATKINS RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ATKINS RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371474",
            "telephone_number": "508-888-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

Verify at the official NPI Registry.