Individual provider · Type 1 NPI

Lisa Sullivan, LCSW

Clinical Social Worker · Medford, NY

NPI number 1336486414 Active

Practice location

31 Industrial Blvd
Medford, NY 11763-2220

Call (631) 205-6232 Map

Fax (631) 924-4454

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X083436-1 (NY)

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 1336486414

Lisa Sullivan, LCSW's National Provider Identifier is 1336486414, issued on Jan 10, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, NY. The record was last updated on Jan 25, 2022.