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

Mr. James M Sullivan, LICSW114273

Individual provider Social Worker · NPI 1831297670

Mr. James M Sullivan, LICSW114273 is a Social Worker in Kingston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

28 Ocean Hill Dr
Kingston, MA 02334
Phone: (617) 910-6078
Fax: (617) 275-8772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 114273 (MA)
Social Worker Taxonomy 104100000X · Licence 213178 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 114273 (MA)

Record details

NPI number1831297670
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW114273
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 30, 2012

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