Individual provider · Type 1 NPI

Thomas Mann Sullivan, LCSW LMFT

Clinical Social Worker · Bloomington, IN

NPI number 1770568321 Active

Practice location

645 S Rogers St
Bloomington, IN 47403

Call (812) 339-1691 Map

Fax (812) 337-2438

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003025A (IN)
Marriage & Family Therapist 106H00000X35001314 (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 1770568321

Thomas Mann Sullivan, LCSW LMFT's National Provider Identifier is 1770568321, issued on Dec 7, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on May 22, 2014.