Individual provider · Type 1 NPI

Tim D. Sullivan, MSW, LCSW

Clinical Social Worker · Minneapolis, MN

NPI number 1003038753 Active

Practice location

229 Ridgewood Ave, Apartment 112
Minneapolis, MN 55403-3554

Call (612) 600-7169 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 003553 (MO)

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 1003038753

Tim D. Sullivan, MSW, LCSW's National Provider Identifier is 1003038753, issued on May 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.