MEDICARE: ANDREW JAMES SULLIVAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	125405	MA
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1164942983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JAMES SULLIVAN

Provider Business Mailing Address
First Line	:	234 COPELAND ST STE 320
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-4082
Country	:	US
Telephone Number	:	617-479-4545
Fax Number	:	781-803-2712

Provider Business Practice Location Address
First Line	:	234 COPELAND ST STE 320
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-4082
Country	:	US
Telephone Number	:	617-479-4545
Fax Number	:	617-479-4555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	08/18/2022

Similar Medicare Providers

1700744034 — LYNN FAMILY DENTAL AND ORTHODONTICS PC
Practice Location Address:

234 COPELAND ST STE 330
QUINCY, MA
02169-4082

Practice Phone: 617-401-8298
Practice Fax: 617-997-0030

1942557327 — CARING BEES HEALTHCARE INC.
Practice Location Address:

234 COPELAND ST STE 220
QUINCY, MA
02169-4082

Practice Phone: 617-602-0143
Practice Fax:

1114430048 — MRS. DOMINIQUE SIMONE DEMARSH LICSW
Practice Location Address:

234 COPELAND ST FL 3
QUINCY, MA
02169-4082

Practice Phone: 781-386-7141
Practice Fax: 617-479-4798

1235866344 — EMERSON FANG LICSW
Practice Location Address:

234 COPELAND ST STE 320
QUINCY, MA
02169-4082

Practice Phone: 617-479-4545
Practice Fax: 617-481-5296

1023732195 — DR. NICOLE BRUNDIGE
Practice Location Address:

234 COPELAND ST STE 320
QUINCY, MA
02169-4082

Practice Phone: 617-479-4545
Practice Fax:

1508579731 — DIANT'HA YANICE RODRIGUEZ
Practice Location Address:

234 COPELAND ST FL 4
QUINCY, MA
02169-4082

Practice Phone: 617-658-5610
Practice Fax:

Directions to “ ANDREW JAMES SULLIVAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.