Individual provider · Type 1 NPI

Jaimie Elizabeth Sullivan, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1356907372 Active

Practice location

1516 Fremont Ave NW
Grand Rapids, MI 49504-3020

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801122888 (MI)

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 1356907372

Jaimie Elizabeth Sullivan, LMSW's National Provider Identifier is 1356907372, issued on May 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 27, 2026.