Individual provider · Type 1 NPI

Melinda Jean Sullivan, LCSW LADC

Clinical Social Worker · West Hartford, CT

NPI number 1295925485 Active

Practice location

97 South St Ste 105
West Hartford, CT 06110-1964

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	006460 (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 1295925485

Melinda Jean Sullivan, LCSW LADC's National Provider Identifier is 1295925485, issued on Jul 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Hartford, CT. The record was last updated on Mar 22, 2021.