Ms Kimberly Ann Sullivan, MSW,LICSW,LADC in Melrose, MA

Ms Kimberly Ann Sullivan, MSW,LICSW,LADC is a medicare enrolled "Social Worker - Clinical" provider in Melrose, Massachusetts. Her current practice location is 1 W Foster St, 3rd Floor, Melrose, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 308-0868.

Ms Kimberly Ann Sullivan is licensed to practice in Massachusetts (license number 1023679) 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 1275564478.

Contact Information

	Ms Kimberly Ann Sullivan, MSW,LICSW,LADC
	1 W Foster St, 3rd Floor, Melrose, MA 02176-3810
	(781) 308-0868
	(781) 665-0027

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Ann Sullivan
Gender	Female
Speciality	Social Worker - Clinical
Location	1 W Foster St, Melrose, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275564478
Provider Enumeration Date: 07/05/2006
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1254366560
Enrollment ID: I20051005000342

Medical Identifiers

Medical identifiers for Ms Kimberly Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275564478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1023679 (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 Kimberly Ann Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

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 Kimberly Ann 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 Address	Practice Location Address
Ms Kimberly Ann Sullivan, MSW,LICSW,LADC 1 W Foster St, 3rd Floor, Melrose, MA 02176-3810 Ph: (781) 308-0868	Ms Kimberly Ann Sullivan, MSW,LICSW,LADC 1 W Foster St, 3rd Floor, Melrose, MA 02176-3810 Ph: (781) 308-0868

Reviews and Comments

Social Worker in Melrose, MA

William John Dell'orfano, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Crystal St, Melrose, MA 02176 Phone: 781-665-6604 Fax: 781-662-7604
Mrs. Kimberly Ann Smith-mccue, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Suite #5, Melrose, MA 02176 Phone: 617-797-8141 Fax: 781-665-0006
Paul Gerard Vozzo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose Wakefield Hospital Psych, Melrose, MA 02176 Phone: 781-979-3310 Fax: 781-979-3326
Ms. Samantha Block, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Maternal Fetal, Melrose, MA 02176 Phone: 781-979-3642
Ana M Costa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Main St, Melrose, MA 02176 Phone: 781-864-7729
Mr. Gregory Bodine, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 49 Myrtle St, Melrose, MA 02176 Phone: 617-297-9795

Ms Kimberly Ann Sullivan, MSW,LICSW,LADC - Medicare Clinical Social Worker in Melrose, MA