Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew James Sullivan

Individual provider Clinical Social Worker · NPI 1164942983

Andrew James Sullivan is a Clinical Social Worker in Quincy, Massachusetts. Qualified in 2017, 9 years ago. Practices with Jbw Psychological Services LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

234 Copeland St Ste 320
Quincy, MA 02169-4082
Phone: (617) 479-4545
Fax: (617) 479-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 125405 (MA)
Clinical Social Worker Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1164942983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address234 Copeland St Ste 320, Quincy, MA 02169-4082

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jbw Psychological Services Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Quincy