Individual provider · Type 1 NPI

Suzie Sullivan, LCSW

Clinical Social Worker · Marina, CA

NPI number 1730482597 Active

Practice location

299 12th St
Marina, CA 93933-6003

Mailing address

PO Box 22315
Carmel, CA 93922-0315

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23801 (CA)

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 1730482597

Suzie Sullivan, LCSW's National Provider Identifier is 1730482597, issued on Dec 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marina, CA. The record was last updated on Nov 22, 2013.