Individual provider Active NPI

Melissa Marie Sullivan

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1740571702
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113791 Issued in MA
Practice address
41 Taunton GRN Ste 204
Taunton, MA 02780-3252
Phone
(774) 765-9490
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 113791 MA Primary

Addresses

Primary practice location

41 Taunton GRN Ste 204
Taunton, MA 02780-3252

Mailing address

1 Carma LN
Berkley, MA 02779-1426
Phone (774) 766-9490

Other names 1

  • Melissa Marie Young Former name

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
I20110613000260 MA Practitioner - Clinical Social Worker 8123205507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Care Homecare, LLCGroup PAC ID 2163605114, 4 clinicians

Practice addresses (Care Compare)

2343 Purchase St C
New Bedford, MA 02746-1540
Phone (781) 436-3352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Sullivan, Licsw PC CurrentSince Jul 9, 2025 Accepting new patients
All Care Homecare, LLC CurrentSince Dec 10, 2016 Accepting new patients
Health Imperatives Inc. PastSince Dec 10, 2016 Accepting new patients
Mashpee Mental Health Center, Inc. Past Accepting new patients
Day to Day Psychiatric Care & Wellness PLLC PastSince Aug 6, 2023 Accepting new patients

Locations

2343 Purchase St
New Bedford, MA 02746
Phone (781) 436-3352

2343 Purchase St
Unit C
New Bedford, MA 02746
Phone (781) 436-3352

294 Pleasant St
Ste 205
Stoughton, MA 02072
Phone (781) 436-3352

294 Pleasant St
Ste 205B
Stoughton, MA 02072

41 Taunton Grn
Ste 204
Taunton, MA 02780
Phone (508) 386-3077

Organizations & group practices 5

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1740571702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARMA LN",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791426",
            "telephone_number": "774-766-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TAUNTON GRN STE 204",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803252",
            "telephone_number": "774-765-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "YOUNG",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.