| Mr Charles Sullivan, MSW, LICSW | |
|
10 High St Ste 10, Medford, MA 02155-3848 | |
| (781) 395-1560 | |
| (781) 391-5564 |
| Full Name | Mr Charles Sullivan |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10 High St Ste 10, Medford, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114093259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0060196 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Sullivan, MSW, LICSW Po Box 681, Newport, VT 05855-0681 Ph: (781) 254-4958 | Mr Charles Sullivan, MSW, LICSW 10 High St Ste 10, Medford, MA 02155-3848 Ph: (781) 395-1560 |
Deborah Herzog, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 High St Ste 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 | |
Mr. Howard David Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Park St - Apt. 2, Medford, MA 02155 Phone: 781-395-7374 | |
Mrs. Kerri Anne Dewolf, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6157 Fax: 781-306-6146 | |
Alexandra Jane Kennedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Medford, MA 02155 Phone: 413-464-3067 | |
Mr. William Frank Scalise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Suite 2a, Medford, MA 02155 Phone: 781-393-0009 Fax: 781-395-2909 | |
Sarah Evans, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Suite 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 | |
Ms. Kerry Lynn Desista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Rd, Suite 209, Medford, MA 02155 Phone: 781-395-0351 |