Charles Sullivan, MSW, LICSW
NPI 1114093259 · Clinical Social Worker · Medford, MA
Charles Sullivan, MSW, LICSW is a Clinical Social Worker provider in Medford, MA (NPI 1114093259).
Provider details
- NPI number
- 1114093259
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 089.0060196 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2010-01-04
Frequently asked questions
- What is Charles Sullivan's NPI number?
- Charles Sullivan's National Provider Identifier (NPI) is 1114093259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Sullivan's specialty?
- Charles Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Charles Sullivan located?
- Charles Sullivan's practice location on file with NPPES is 10 High St Ste 10, Medford, MA 02155-3848.
- What is Charles Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Charles Sullivan is (781) 395-1560.
- Is Charles Sullivan's NPI active?
- Yes — Charles Sullivan's NPI (1114093259) is active in the NPPES registry as of the last update on 2010-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.