William L Sullivan in Yarmouth Port - Clinical
William L Sullivan - NPI 1174572853
William L Sullivan is a Clinical in Yarmouth Port, Massachusetts. William L Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for William L Sullivan is 1174572853. The last update date is 2007-07-08.
William L Sullivan's current location address is 923 Route 6a, Yarmouth Port, Massachusetts. You can contact this provider via phone number 5083625080. The mailing address for William L Sullivan is 923 Route 6a, Yarmouth Port, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William L Sullivan |
|---|---|
| Address | 923 Route 6a, Yarmouth Port, Massachusetts |
| Phone Number | 5083625080 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1174572853 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 923 Route 6a |
|---|---|
| City | Yarmouth Port |
| State | Massachusetts (MA) |
| Post Code | 26752159 |
| Phone Number | 5083625080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111266 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111266 | MA | LICSW |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to William L Sullivan by the Centers for Medicare & Medicaid Services?
The William L Sullivan has been issued the NPI (National Provider Identifier) 1174572853, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the William L Sullivan's physical address?
The William L Sullivan is physically located at 923 Route 6A, in the city of Yarmouth Port, MA, with the postal code 26752159.
What is the William L Sullivan's specialty and taxonomy code?
The William L Sullivan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174572853 to William L Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1174572853 to William L Sullivan on 2006-05-09.
When was the William L Sullivan's information last updated?
The William L Sullivan's information was last updated on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA