Individual provider · Type 1 NPI

Kristi Spence Sullivan, LCSW

Clinical Social Worker · Marietta, GA

NPI number 1598020398 Active

Practice location

2940 Johnson Ferry Rd Ste B-127
Marietta, GA 30062-8361

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CSW003884 (GA)

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 1598020398

Kristi Spence Sullivan, LCSW's National Provider Identifier is 1598020398, issued on Jul 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Jul 18, 2024.