Individual provider · Type 1 NPI

Bradi Patrice Sullivan, MSW, LICSW, LCSW

Clinical Social Worker · Truckee, CA

NPI number 1174195036 Active

Practice location

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234

Call (415) 424-4266 Map

Fax (415) 520-6633

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063-2233

Other practice locations

  • 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 · (415) 424-4266
  • 100 N Fruitland St Ste A, Kennewick, WA 99336-3814 · (509) 581-0303
  • 699 Walnut St Ste 400, Des Moines, IA 50309-3962 · (415) 424-4266

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700X0904016390 (VA)
Clinical Social Worker 1041C0700X127400 (IA)
Clinical Social Worker Primary 1041C0700XLW61330062 (WA)

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 1174195036

Bradi Patrice Sullivan, MSW, LICSW, LCSW's National Provider Identifier is 1174195036, issued on Jul 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Truckee, CA. The record was last updated on Jan 15, 2025.