Individual provider · Type 1 NPI

Shannon Sullivan, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1134596687 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Call (616) 965-8200 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X925807 (MI)

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 1134596687

Shannon Sullivan, LMSW's National Provider Identifier is 1134596687, issued on Aug 31, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 19, 2020.