Justine Sullivan in Northborough - Clinical

Justine Sullivan - NPI 1184720773

Justine Sullivan is a Clinical in Northborough, Massachusetts. Justine Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Justine Sullivan is 1184720773. The last update date is 2007-07-08.

Justine Sullivan's current location address is 22 Sunset Dr, Northborough, Massachusetts. You can contact this provider via phone number 5086620279. The mailing address for Justine Sullivan is 22 Sunset Dr, Northborough, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Justine Sullivan
Address 22 Sunset Dr, Northborough, Massachusetts
Phone Number 5086620279
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1184720773
Provider Enumeration Date 2006-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22 Sunset Dr
City Northborough
State Massachusetts (MA)
Post Code 15322318
Phone Number 5086620279
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 110128
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P08564 MA BCBS PROVIDER NUMBER

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FAQs about Justine Sullivan

What is the unique provider identifier assigned to Justine Sullivan?

The Justine Sullivan has been issued the NPI (National Provider Identifier) 1184720773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Justine Sullivan?

The Justine Sullivan is physically situated at 22 Sunset Dr, in the city of Northborough, state of MA, with the postal code 15322318.

What is Justine Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Justine Sullivan is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did Justine Sullivan receive its 1184720773 assignment from the Centers for Medicare & Medicaid Services?

The Justine Sullivan was assigned its 1184720773 on 2006-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Justine Sullivan last refreshed?

The information related to the Justine Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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