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

Mr. Daniel T Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1124235734

Mr. Daniel T Sullivan, LICSW is a Clinical Social Worker in South Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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

58 Old Colony Ave
South Boston, MA 02127-2406
Phone: (617) 268-1700
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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 115114 (MA)

Record details

NPI number1124235734
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJune 7, 2011
Mailing address58 Old Colony Ave, South Boston, MA 02127-2406

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