Individual provider · Type 1 NPI

Laura Marie Sullivan, LISW

Clinical Social Worker · Santa Fe, NM

NPI number 1114904778 Active

Practice location

9 Carlito Rd
Santa Fe, NM 87508-8784

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X989695 (CO)
Clinical Social Worker Primary 1041C0700XX05080 (NM)

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 1114904778

Laura Marie Sullivan, LISW's National Provider Identifier is 1114904778, issued on Dec 26, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.