| Ms Kenna M Sullivan, LICSW | |
|
692 Washington St, Brighton, MA 02135-1537 | |
| (617) 312-8067 | |
| (617) 254-9479 |
| Full Name | Ms Kenna M Sullivan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 692 Washington St, Brighton, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942410402 | NPI | - | NPPES |
| 1854526 | Medicaid | MA | |
| 62-00541 | Other | MA | EVERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 107098 (Massachusetts) | Primary |
| Mailing Address | Practice 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 |
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 Medicare: Not Enrolled in Medicare 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 |