Individual provider · Type 1 NPI
Kristina Sullivan
Clinical Social Worker · Southport, CT
Practice location
88 Half Mile Rd
Southport, CT 06890-3032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1609541960
Kristina Sullivan's National Provider Identifier is 1609541960, issued on Aug 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southport, CT. The record was last updated on Sep 20, 2021.