Ms Kenna M Sullivan, LICSW - Medicare Clinical Social Worker in Brighton, MA

Ms Kenna M Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brighton, Massachusetts. Her current practice location is 692 Washington St, Brighton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 312-8067.

Ms Kenna M Sullivan is licensed to practice in Massachusetts (license number 107098) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942410402.

Contact Information

Ms Kenna M Sullivan, LICSW
692 Washington St,
Brighton, MA 02135-1537
(617) 312-8067
(617) 254-9479

Map and Direction




Healthcare Provider's Profile

Full NameMs Kenna M Sullivan
GenderFemale
SpecialitySocial Worker - Clinical
Location692 Washington St, Brighton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942410402
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618922543
  • Enrollment ID: I20210510001626

Medical Identifiers

Medical identifiers for Ms Kenna M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942410402NPI-NPPES
1854526MedicaidMA
62-00541OtherMAEVERCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 107098 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kenna M Sullivan allows following entities to bill medicare on her behalf.
Entity NameNewport County Community Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093713174
PECOS PAC ID: 9830089812
Enrollment ID: O20040316000531

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kenna M Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kenna M Sullivan, LICSW
960 Massachusetts Ave Ste 2,
Boston, MA 02118-2690

Ph: () -
Ms Kenna M Sullivan, LICSW
692 Washington St,
Brighton, MA 02135-1537

Ph: (617) 312-8067

Reviews and Comments


Social Worker in Brighton, MA

Katie Wynen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St, Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461
Katherine Plapinger,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St, Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461
Alex Eduardo Santos, LCSW
Clinical Social Worker
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Practice Location: 30 Warren St, Brighton, MA 02135
Phone: 617-955-1564    
Alice Freeman Goodrich, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 30 Warren St, Brighton, MA 02135
Phone: 617-779-1685    
Kyle Megrath,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St, Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461
Michael Okeefe,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St, Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461
Trevor Sullivan-smith,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 77b Warren St, Brighton, MA 02135
Phone: 617-787-1901    Fax: 617-254-3461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.