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

Individual provider Clinical Social Worker · NPI 1992827026

Timothy Sullivan, LICSW is a Clinical Social Worker in Malden, Massachusetts. Graduated from Boston University School of Medicine in 1992, 34 years ago. Practices with Nova Psychiatric Services, PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
34
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

6 Pleasant St 6th Fl
Malden, MA 02148-5100
Phone: (781) 871-6550
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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 1025742 (MA)

Record details

NPI number1992827026
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 490323, Everett, MA 02149-0005

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 1992 (34 years in practice)
Group practice Nova Psychiatric Services, P.C — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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