Individual provider · Type 1 NPI

Rebecca Sullivan, LCSW

Clinical Social Worker · Lafayette, IN

NPI number 1740367291 Active

Practice location

615 N 18th St, Suite 101
Lafayette, IN 47904-3410

Fax (765) 742-8272

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003487 (IN)

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 1740367291

Rebecca Sullivan, LCSW's National Provider Identifier is 1740367291, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Mar 26, 2014.