Individual provider · Type 1 NPI

Robert Jackson Sullivan Iii, MSW, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1679258149 Active

Practice location

3506 W Tyvola Rd
Charlotte, NC 28208-7201

Call (205) 601-4845 Map

Mailing address

3207 Edsel Pl
Charlotte, NC 28205-4352

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1679258149

Robert Jackson Sullivan Iii, MSW, LCSWA's National Provider Identifier is 1679258149, issued on Jun 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 25, 2023.