Individual provider · Type 1 NPI

C Stan Sullivan, LCSW

Clinical Social Worker · St. George, UT

NPI number 1407129588 Active

Practice location

377 E Riverside Dr Ste B
St. George, UT 84790

Fax (435) 275-4256

Other practice locations

  • 377 E Riverside Dr Ste B, St. George, UT 84790 · (435) 862-8273

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X130803-3501 (UT)

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 1407129588

C Stan Sullivan, LCSW's National Provider Identifier is 1407129588, issued on Feb 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. George, UT. The record was last updated on May 22, 2019.