Individual provider · Type 1 NPI

Kathleen Ellen Sullivan, LCSW

Clinical Social Worker · Brunswick, ME

NPI number 1497851885 Active

Practice location

16 Lincoln St., Suite C
Brunswick, ME 04032

Mailing address

P.o. Box 523
Freeport, ME 04032

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC469 (ME)
Clinical Social Worker Primary 1041C0700X#469 (ME)

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 1497851885

Kathleen Ellen Sullivan, LCSW's National Provider Identifier is 1497851885, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brunswick, ME. The record was last updated on Oct 20, 2015.