Individual provider · Type 1 NPI

Jesse Danielle Sullivan, MSW, LCSWA

Clinical Social Worker · Wilmington, NC

NPI number 1376496430 Active

Practice location

615 Shipyard Blvd
Wilmington, NC 28412-6431

Call (910) 343-0145 Map

Other practice locations

  • 3950 Juvenile Center Dr, Castle Hayne, NC 28429-6109 · (910) 540-6573

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023418 (NC)

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 1376496430

Jesse Danielle Sullivan, MSW, LCSWA's National Provider Identifier is 1376496430, issued on Feb 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Jul 20, 2026.