Individual provider · Type 1 NPI
Corissa Dante' Sullivan
Clinical Social Worker · Los Angeles, CA
Practice location
470 E 3rd St
Los Angeles, CA 90013-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 110009 (CA) |
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 1033865712
Corissa Dante' Sullivan's National Provider Identifier is 1033865712, issued on Feb 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 16, 2025.