Individual provider · Type 1 NPI
Emma J. Penti Sullivan, LICSW
Clinical Social Worker · South Weymouth, MA
Practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
253 Old Oaken Bucket Rd
Scituate, MA 02066-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 114450 (MA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1750987392
Emma J. Penti Sullivan, LICSW's National Provider Identifier is 1750987392, issued on Dec 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Weymouth, MA. The record was last updated on Dec 9, 2020.