Individual provider · Type 1 NPI

Kayleigh Jo Sullivan, LICSW

Clinical Social Worker · Alexandria, VA

NPI number 1184411852 Active

Practice location

2248 N Beauregard St Apt 12
Alexandria, VA 22311-2248

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC200002858 (DC)

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 1184411852

Kayleigh Jo Sullivan, LICSW's National Provider Identifier is 1184411852, issued on Apr 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alexandria, VA. The record was last updated on Apr 24, 2025.