Individual provider · Type 1 NPI
Jacqueline A. Sullivan, MSW
Clinical Social Worker · Waterbury, CT
Practice location
417 Highland Avenue, Suite 1
Waterbury, CT 06708
Fax (203) 754-3196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 002488 (CT) |
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 1245337435
Jacqueline A. Sullivan, MSW's National Provider Identifier is 1245337435, issued on Sep 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Jul 8, 2007.