Individual provider · Type 1 NPI

Nancy Anne Sullivan, LCSW

Clinical Social Worker · Rego Park, NY

NPI number 1619112828 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Call (718) 896-3400 Map

Fax (718) 459-5621

Mailing address

15913 Horace Harding Expy
Flushing, NY 11365-1424

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X075477 (NY)

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 1619112828

Nancy Anne Sullivan, LCSW's National Provider Identifier is 1619112828, issued on Dec 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rego Park, NY. The record was last updated on Dec 3, 2008.