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

Emma J Penti Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1750987392

Emma J Penti Sullivan, LICSW is a Clinical Social Worker in S Weymouth, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

55 Fogg Rd
S Weymouth, MA 02190-2432
Phone: (781) 624-4697
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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 114450 (MA)

Record details

NPI number1750987392
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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