Individual provider · Type 1 NPI
Kathie Jean Sullivan, LCSW
Clinical Social Worker · Dallas, TX
Practice location
14958 Vistaridge Dr
Dallas, TX 75248-5562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 09923208 (CO) |
| Clinical Social Worker | 1041C0700X | 6905 (MT) |
| Clinical Social Worker Primary | 1041C0700X | 106862 (TX) |
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 1508517327
Kathie Jean Sullivan, LCSW's National Provider Identifier is 1508517327, issued on Jan 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Jan 13, 2022.