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

Susan Sullivan, LICSW

Individual provider Clinical Social Worker · NPI 1417258302

Susan Sullivan, LICSW is a Clinical Social Worker in West Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
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

59 Interstate Dr Ste 10
West Springfield, MA 01089-5100
Phone: (774) 206-1125
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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 216664 (MA)

Record details

NPI number1417258302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 8, 2010
Last updated in NPPESDecember 18, 2022
Certification dateDecember 18, 2022
Mailing address96 South St, Ware, MA 01082-1616

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