Organization Active NPI

Sullivan Therapeutic Services, LLC

  • Clinical Social Worker
  • Dartmouth, MA
National Provider Identifier
1518871573
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SULLIVAN THERAPEUTIC SERVICES, LLC
Practice address
49 State Rd Ste 104F
Dartmouth, MA 02747-3322
Phone
(774) 400-6968
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Skyler Earle, LICSW
Title
Owner
Phone
(774) 400-6968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

49 State Rd Ste 104F
Dartmouth, MA 02747-3322

Mailing address

49 State Rd Ste 104F
Dartmouth, MA 02747-3322
Phone (774) 400-6968

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1518871573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE RD STE 104F",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "774-400-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE RD STE 104F",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473322",
            "telephone_number": "774-400-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "SKYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-400-6968",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.