MS. KATHLEEN ELLEN SULLIVAN (LCSW) – Clinical Social Worker, NPI 1497851885

Clinical Social Worker

MS. KATHLEEN ELLEN SULLIVAN (LCSW) is a healthcare provider. based in Freeport, Maine. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LC469 (ME). The NPI Number for MS. KATHLEEN ELLEN SULLIVAN (LCSW) is 1497851885

Main info

Female

Sole Proprietor

57 Years Of Experience

Accepts Medicare Assignment

Name

MS. KATHLEEN ELLEN SULLIVAN (LCSW)

NPI

1497851885

Phone

(207) 865-6695

Address

P.O. BOX 523

Enumeration Date

15 September 2006

Last Update Date

20 October 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2074002454

Graduation Year

1969 (57 years ago)

PAC ID

4789612193

Professional Enrollment ID

I20050727000940

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience56

Completeness75

Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MS. KATHLEEN ELLEN SULLIVAN (LCSW)

P.O. BOX 523
FREEPORT, ME 04032
Phone: (207) 865-6695
Type: Mailing
Laura B. Bertulli, LCSW, 16, Lincoln Street, Brunswick, Cumberland County, Maine, 04011, United States
SUITE C
BRUNSWICK, ME 04032
Phone: (207) 400-2454
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04032)

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Reviews

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Frequently asked questions

How do I look up MS. KATHLEEN ELLEN SULLIVAN (LCSW) by NPI?

Use NPI 1497851885 when you need to reference MS. KATHLEEN ELLEN SULLIVAN (LCSW) in forms, claims, or directories.

Is MS. KATHLEEN ELLEN SULLIVAN (LCSW)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What field does MS. KATHLEEN ELLEN SULLIVAN (LCSW) work in?

You can think of MS. KATHLEEN ELLEN SULLIVAN (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Where does public data place MS. KATHLEEN ELLEN SULLIVAN (LCSW)?

The snapshot lists Freeport, Maine for MS. KATHLEEN ELLEN SULLIVAN (LCSW); download NPPES for the complete set.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.