MR. CHARLES SULLIVAN (MSW, LICSW) – Clinical Social Worker, NPI 1114093259

MR. CHARLES SULLIVAN (MSW, LICSW) is a healthcare provider. based in Newport, Vermont. specializing in Clinical Social Worker. They hold the professional credentials MSW, LICSW. They hold a License No. 089.0060196 (VT). The NPI Number for MR. CHARLES SULLIVAN (MSW, LICSW) is 1114093259

Main info

Male
Sole Proprietor
Name
MR. CHARLES SULLIVAN (MSW, LICSW)
NPI
1114093259
Phone
(781) 254-4958
Address
PO BOX 681
Enumeration Date
28 November 2006
Last Update Date
4 January 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. CHARLES SULLIVAN (MSW, LICSW)

  • PO BOX 681

    NEWPORT, VT 058550681

    Phone: (781) 254-4958

    Type: Mailing

  • 10 HIGH ST STE 10

    MEDFORD, MA 021553848

    Phone: (781) 395-1560

    Fax: (781) 391-5564

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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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 05855)

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Reviews

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Frequently asked questions

Can I cross-check MR. CHARLES SULLIVAN (MSW, LICSW) using NPI 1114093259?
NPI 1114093259 belongs to MR. CHARLES SULLIVAN (MSW, LICSW); compare other details if you need extra assurance.
Is there an active status for MR. CHARLES SULLIVAN (MSW, LICSW)?
For scheduling context, MR. CHARLES SULLIVAN (MSW, LICSW) is shown as active in the registry.
What area of care is associated with MR. CHARLES SULLIVAN (MSW, LICSW)?
MR. CHARLES SULLIVAN (MSW, LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. CHARLES SULLIVAN (MSW, LICSW)?
Travel planning: use Newport, Vermont as the reference point for MR. CHARLES SULLIVAN (MSW, LICSW), then confirm.
Does MR. CHARLES SULLIVAN (MSW, LICSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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