IndividualActive
Kenna Sullivan, LICSW
NPI 1942410402 · Clinical Social Worker · Brighton, MA
Kenna Sullivan, LICSW is a Clinical Social Worker provider in Brighton, MA (NPI 1942410402).
Provider details
- NPI number
- 1942410402
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 107098 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(94/100 index)
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
2 documented practice locations
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
692 Washington St
Brighton, MA 02135-1537
Phone: (617) 312-8067
Fax: (617) 254-9479
Street-level locationGet directions
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Additional practice locations (1)
- 1 Boston Medical Ctr PlBoston, MA 02118-2908Phone: (617) 414-5245
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Kenna Sullivan's NPI number?
- Kenna Sullivan's National Provider Identifier (NPI) is 1942410402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenna Sullivan's specialty?
- Kenna Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenna Sullivan located?
- Kenna Sullivan's practice location on file with NPPES is 692 Washington St, Brighton, MA 02135-1537.
- What is Kenna Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kenna Sullivan is (617) 312-8067.
- Is Kenna Sullivan's NPI active?
- Yes — Kenna Sullivan's NPI (1942410402) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.