Individual provider · Type 1 NPI

Jennifer Marie Sullivan-Brunault, LICSW

Clinical Social Worker · Agawam, MA

NPI number 1750650487 Active

Practice location

335 Walnut St. Extension, Suite 200, Agawam Professional Center
Agawam, MA 01001-1524

Fax (413) 789-0557

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113195 (MA)

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 1750650487

Jennifer Marie Sullivan-Brunault, LICSW's National Provider Identifier is 1750650487, issued on Dec 27, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Agawam, MA. The record was last updated on Dec 27, 2011.