Timothy Sullivan, LICSW in Malden, MA - Medicare Clinical Social Worker Provider

Timothy Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Malden, Massachusetts. He went to Boston University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Nova Psychiatric Services, P.c and his current practice location is 6 Pleasant St, 6th Floor, Malden, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 871-6550.

Timothy Sullivan is licensed to practice in Massachusetts (license number 1025742) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992827026.

Contact Information

	Timothy Sullivan, LICSW
	6 Pleasant St, 6th Floor, Malden, MA 02148-5100
	(781) 871-6550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Sullivan
Gender	Male
Speciality	Clinical Social Worker
Experience	32 Years
Location	6 Pleasant St, Malden, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy Sullivan attended and graduated from Boston University School Of Medicine in 1992

NPI Data:

NPI Number: 1992827026
Provider Enumeration Date: 04/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0244268878
Enrollment ID: I20050803000789

Medical Identifiers

Medical identifiers for Timothy Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992827026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1025742 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nova Psychiatric Services, P.c	4183524887	26

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. Timothy Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Nova Psychiatric Services, P.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881782522 PECOS PAC ID: 4183524887 Enrollment ID: O20040109000776

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. Timothy 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
Timothy Sullivan, LICSW Po Box 490323, Everett, MA 02149-0005 Ph: () -	Timothy Sullivan, LICSW 6 Pleasant St, 6th Floor, Malden, MA 02148-5100 Ph: (781) 871-6550

Reviews and Comments

Social Worker in Malden, MA

Francisco Bastardo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 781-395-0457 Fax: 781-395-0457
Cheryl Enos, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Pleasant St, 6th Floor, Malden, MA 02148 Phone: 781-871-6550
Evan Rosenberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 781-999-3544
Esmeralda Porto, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Kennedy Dr Apt 211, Malden, MA 02148 Phone: 978-807-5797
Amannda Depaolo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Wescott St, Malden, MA 02148 Phone: 781-388-0882
Jennifer Clark, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Pleasant St, 6th Floor, Malden, MA 02148 Phone: 781-322-1503
Emma Briggs, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 Eastern Ave, Malden, MA 02148 Phone: 339-223-4626

Timothy Sullivan, LICSW - Medicare Clinical Social Worker in Malden, MA