Elizabeth Anne Sunshine, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113712 Issued in MA

Practice address

64 Eldredge St
Newton, MA 02458-2017

Phone

(617) 969-4925

Fax

(617) 969-2507

NPI assigned

Nov 9, 2006

Last updated

Apr 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. E Anne Sunshine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Riverside Community Care

  • Community/Behavioral Health Agency
  • Newton, MA
  • NPI 1730473992
  NPD (past)
• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1568532257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSTON BEHAVIORAL MEDICINE",
            "address_2": "1371 BEACON ST., SUITE 304",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "204464905",
            "telephone_number": "617-777-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ELDREDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582017",
            "telephone_number": "617-969-4925",
            "fax_number": "617-969-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSHINE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "SUNSHINE",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maureen Sullivan, ED.S
• Meaghan Sullivan
• Meredith Sullivan, LICSW
• Phoebe Sullivan
• Hariharan V Sundram, M.D.
• Lisa Wonhee Sunwoo, M.D.
• Vanessa O'Toole Supple, R.D.
• Surgical Neurology, Inc.
• Mark Emilio Suris
• Arvia Sutandi, NP

• Clinical Social Worker in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.