Richard A Sullivan, BA, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

314564 Issued in MA

Practice address

26 Viden Rd
Quincy, MA 02169-7907

Phone

(857) 488-5373

Fax

(617) 516-0281

NPI assigned

Jan 10, 2014

Last updated

Feb 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1578985479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VIDEN RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697907",
            "telephone_number": "857-488-5373",
            "fax_number": "617-516-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VIDEN RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697907",
            "telephone_number": "857-488-5373",
            "fax_number": "617-516-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BA, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "314564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sullivan, BS
• Kayla Marie Sullivan, FNP-BC
• Meaghan Anne Sullivan, MS,CCC-SLP
• Melanie Sullivan
• Michael Gregory Sullivan, RN
• Shannon Marie Sullivan
• Jenny Ying Xin Sun, M.D.
• Yu Sun
• Sunny Dutra, PH.D., LLC
• Sunny Eyecare PLLC

• Social Worker in Quincy, MA
• Providers in Quincy, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.