Individual provider · Type 1 NPI
Susan Sullivan, L.I.C.S.W.
Clinical Social Worker · West Springfield, MA
Practice location
59 Interstate Dr Ste 10
West Springfield, MA 01089-5100
Mailing address
96 South St
Ware, MA 01082-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 216664 (MA) |
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 1417258302
Susan Sullivan, L.I.C.S.W.'s National Provider Identifier is 1417258302, issued on Nov 8, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Springfield, MA. The record was last updated on Dec 18, 2022.