Individual provider · Type 1 NPI

Kathleen Ann Sullivan, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1467574715 Active

Practice location

621 W Lake St Ste 350
Minneapolis, MN 55408-2952

Call (612) 979-2276 Map

Fax (612) 925-0427

Mailing address

3211 14th Ave S
Minneapolis, MN 55407-2205

Other practice locations

  • 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 · (612) 293-6523

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13480 (MN)

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 1467574715

Kathleen Ann Sullivan, LICSW's National Provider Identifier is 1467574715, issued on Apr 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 22, 2025.