Individual provider · Type 1 NPI

Kelly L. Sullivan

Clinical Social Worker · Hyannis, MA

NPI number 1467786004 Active

Practice location

105 Park St
Hyannis, MA 02601-5205

Call (508) 771-9599 Map

Fax (508) 771-1986

Mailing address

79 Azalea Dr
Harwich, MA 02645-1723

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1467786004

Kelly L. Sullivan's National Provider Identifier is 1467786004, issued on Sep 30, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hyannis, MA. The record was last updated on Sep 30, 2009.