Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNOR SOPER-SULLIVAN, LICSW
Active Sole ProprietorCONNOR SOPER-SULLIVAN, LICSW is a Clinical Social Worker healthcare provider located in BRIGHTON, Massachusetts. NPI 1457097164 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BRIGHTON, MA
Registration Details
- NPI Number
- 1457097164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2022 (4.2966810741525 yrs)
- Last Updated
- Apr 2, 2025
- License
-
973188 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 COLBORNE RDBRIGHTON, MA, 021354103Browse MA providers · Browse ZIP 02135
- Phone
- 7812025455
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BRIGHTON, MA
| Name | Credential | NPI |
|---|---|---|
| WENDY C JOLLES | LICSW | 1245220862 |
| MS. APOLINARIA SEVILLA FRANCISCO | LICSW | 1164409256 |
| THEA J SHEVELOFF | LICSW | 1184667354 |
| MR. KENNETH B JAEGER | LICSW | 1730281007 |
| ELIZABETH HAAS | LICSW | 1073616991 |
| ANN MINDELL | LICSW | 1154424083 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.