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

Individual provider Mental Health Counselor · NPI 1417034414

Mrs. Ann Therese Sullivan, LICSW is a Clinical Social Worker in Quincy, Massachusetts. Qualified in 1984, 42 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
42
Licensed in
MA
In the registry since
2006
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

559 Willard St Bayview/southshorementalhealth
Quincy, MA 02169
Phone: (617) 689-2531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 106936 (MA)

Record details

NPI number1417034414
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 1, 2006
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 schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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