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

Melinda Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1205335668

Melinda Sullivan, LICSW is a Clinical Social Worker in Taunton, Massachusetts. Qualified in 2000, 26 years ago. Offers telehealth. Licensed in Massachusetts.

Years since qualifying
26
Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 Myles Standish Blvd
Taunton, MA 02780-7340
Phone: (508) 223-3331
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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 117239 (MA)

Record details

NPI number1205335668
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESFebruary 12, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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