Individual provider · Type 1 NPI

Ryan Edward Sullivan, LCSW

Clinical Social Worker · West Haven, CT

NPI number 1679099170 Active

Practice location

285 Main Street, Cshhc-West Haven Health Center Counseling Services
West Haven, CT 06516-7307

Fax (203) 503-3414

Mailing address

PO Box 7720, Credentialing Specialist
New Haven, CT 06519-0720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10731 (CT)

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 1679099170

Ryan Edward Sullivan, LCSW's National Provider Identifier is 1679099170, issued on Aug 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Haven, CT. The record was last updated on Aug 27, 2019.