Individual provider · Type 1 NPI

John Gerard Sullivan, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1154478741 Active

Practice location

160 Kellogg Blvd E
St. Paul, MN 55101-1420

Fax (651) 266-4443

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X05806 (MN)

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 1154478741

John Gerard Sullivan, LICSW's National Provider Identifier is 1154478741, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Jul 9, 2007.