MRS. AMANDA SULLIVAN (NPI# 1457633752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457633752 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SULLIVAN |
| Other Name | MS. AMANDA POLZIN |
| Credential | LICSW |
| Practice Address |
110 Cedar St Ste 110 Wellesley MA 02481-3527 |
| Practice Telephone | 6174674136 |
| Mailing Telephone | 6174674136 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
119185 | MA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 780 American Legion Hwy, Roslindale, MA 021313908 | 6174698605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878183 | Amanda J Sullivan | Physical Therapy Assistant | 71 Millard Rd, North Attleboro, MA 02760-4407 | 2012-12-04 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1750613576 | Amanda K Sullivan | Speech-Language Pathologist | 9307 N 3rd Dr, Phoenix, AZ 85021-3555 | 2010-02-03 |
| 1447483458 | Amanda L Sullivan | Counselor | 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 | 2009-08-25 |
| 1447208491 | Amanda Clare Sullivan | Acupuncturist | 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 | 2006-05-04 |
| 1730141151 | Amanda Leigh Sullivan | Specialist/Technologist | 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 | 2006-04-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1851941280 | Amanda Sullivan | Counselor | 74 East St, Plainville, CT 06062-2367 | 2019-09-17 |
| 1033766415 | Amanda Anne Sullivan | Pharmacist | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2019-08-21 |
| 1386207462 | Amanda Sullivan | Occupational Therapist | 6811 Campfield Rd, Baltimore, MD 21207-4657 | 2019-04-15 |
| Street Address |
110 CEDAR ST STE 110 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367522 | Joshua D Katz | Psychiatry & Neurology | 110 Cedar St Ste 110, Wellesley, MA 02481-3527 | 2005-09-26 |
| 1063936730 | The Elliot Lewis Center for Multiple Sclerosis Care LLC | Psychiatry & Neurology | 110 Cedar St Ste 110, Wellesley, MA 02481-3527 | 2017-08-03 |
| 1528438991 | Hailey Leonard | Social Worker | 110 Cedar St Ste 110, Wellesley, MA 02481-3527 | 2015-09-29 |
| 1831539519 | Andrew J. Bouley | Psychiatry & Neurology | 110 Cedar St Ste 110, Wellesley, MA 02481-3527 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
| 1871061432 | Alexandra Lynn Howells | Social Worker | 11 Strathmore Rd, Wellesley, MA 02482-4523 | 2018-11-12 |
| 1952884314 | Barbara Cox | Social Worker | 14 Minuteman Ln, Wellesley, MA 02481-3607 | 2018-09-12 |
| 1164905949 | Lindsay Gibson | Social Worker | 6 Kenilworth Cir, Wellesley, MA 02482-7417 | 2018-09-07 |
| 1093296071 | Vicki L Shemin | Social Worker | 80 William St Ste 210, Wellesley, MA 02481-3700 | 2018-08-27 |
| 1508246109 | Elaine Mittell | Social Worker | 65 Leighton Rd, Wellesley, MA 02482-6926 | 2015-06-09 |
| 1306257951 | Jennifer Jimenez | Social Worker | 888 Worcester St Ste 130, Wellesley, MA 02482-3744 | 2014-05-16 |
| 1427308600 | Jayme Nowland | Social Worker | 1 Washington St Ste 109, Wellesley, MA 02481-1706 | 2012-09-14 |
| 1023255221 | Lynn H. Dennis | Social Worker | 150 Benvenue St, Wellesley, MA 02482-7110 | 2009-01-11 |
| 1730309840 | Emily A Bergson | Social Worker | 132 Oakland Street, Wellesley, MA 02481 | 2007-04-30 |
| Find all providers in WELLESLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.