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

Mr. Paul Joseph Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1508913807

Mr. Paul Joseph Sullivan, LICSW is a Clinical Social Worker in Plymouth, Massachusetts. Graduated from Boston University School of Medicine in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
33
Trained at
Boston University School of Medicine
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

900 Great Outlook Way
Plymouth, MA 02360-1812
Phone: (508) 320-2482
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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 1025911 (MA)

Record details

NPI number1508913807
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plymouth