Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN WATTERS SULLIVAN, LICSW
Active Sole ProprietorELLEN WATTERS SULLIVAN, LICSW is a Clinical Social Worker healthcare provider located in EASTHAM, Massachusetts. NPI 1588994479 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EASTHAM, MA
Registration Details
- NPI Number
- 1588994479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2009 (16.611538827962 yrs)
- Last Updated
- Jun 17, 2022
- Licenses
-
117506089.0061724 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 SEAWARD WAYEASTHAM, MA, 02642Browse MA providers · Browse ZIP 02642
- Phone
- 3392214511
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EASTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. LUCY MORAEN CARLSEN | LICSW | 1306925094 |
| MS. SUSAN R SHORE | MSW LICSW BCD | 1114084787 |
| SUSAN HOULE | MSW | 1609027127 |
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.