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

MS. Kenna M. Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1942410402

MS. Kenna M. Sullivan, LICSW is a Clinical Social Worker in Brighton, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

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.

See every abbreviation used in this directory →

Practice location Address checks out

692 Washington St
Brighton, MA 02135-1537
Phone: (617) 312-8067
Fax: (617) 254-9479
Show map & directions

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

Additional practice locations (1)

  • 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 — (617) 414-5245

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 107098 (MA)

Record details

NPI number1942410402
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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