VINCENT SULLO – Clinical Social Worker, NPI 1306398565

VINCENT SULLO is a healthcare provider. based in Lawrence, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for VINCENT SULLO is 1306398565

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT SULLO
NPI
1306398565
Phone
(978) 682-9222
Address
439 S UNION ST
Enumeration Date
3 November 2016
Last Update Date
3 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813387350
Graduation Year
2017 (9 years ago)
PAC ID
6709261134
Group Practice PAC ID
0840657862
Professional Enrollment ID
I20220920003775
Address ID
MA018035060BU800XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for VINCENT SULLO

  • 439, Union Street, New Castle, Lawrence County, Pennsylvania, 16101, United States

    SUIT 116

    LAWRENCE, MA 018432837

    Phone: (978) 682-9222

    Type: Mailing

  • Union Street, Methuen, Essex County, Massachusetts, 01841, United States

    SUIT 116

    METHUEN, MA 01843

    Phone: (979) 682-9222

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220920003775IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes30727$0
View full utilization report →

Insurance plans in this area (ZIP 01843)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840657862View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Mental Health CounselorRI
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerRI
Mental Health CounselorMA
Mental Health CounselorCT
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What identifier follows VINCENT SULLO across health systems?
The NPI 1306398565 uniquely identifies VINCENT SULLO in U.S. healthcare data.
Should I treat VINCENT SULLO as an active provider?
Patients and plans typically see VINCENT SULLO as active in the national extract.
What services align with VINCENT SULLO's listing?
VINCENT SULLO's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VINCENT SULLO?
VINCENT SULLO is associated with Lawrence, Massachusetts in the same public data insurers reference.
Why is information missing for VINCENT SULLO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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