Timothy Sullivan, LICSW
NPI 1992827026ActiveIndividual· Social Worker, Clinical· Malden, MA
Social Worker, Clinical (LICSW) in Malden, Massachusetts, trained at Boston University School of Medicine (class of 1992). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1992827026 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Apr 6, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 1025742 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Nova Psychiatric Services, P.CQuincy, MA · 14 clinicians
Other clinical social workers in Malden
- 1104977131
- 1447683412
- 1558969840
- 1699658179
- 1831212968
- 1023625704
- 1093114332
- 1235251430
- 1346511250
- 1447011739
- 1558917195
- 1619282159
All 91 clinical social workers in Malden · All clinical social workers in Massachusetts