Individual provider · Type 1 NPI

Maureen Mary Sullivan, MSW, CSW-R

Clinical Social Worker · Latham, NY

NPI number 1407057326 Active

Practice location

582 New Loudon Rd
Latham, NY 12110-4029

Call (518) 783-6059 Map

Fax (518) 783-4793

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR044185-1 (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 1407057326

Maureen Mary Sullivan, MSW, CSW-R's National Provider Identifier is 1407057326, issued on May 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Latham, NY. The record was last updated on Jul 8, 2007.