Individual provider · Type 1 NPI

Beronica Lynn Sullivan, LCSW

Clinical Social Worker · Baton Rouge, LA

NPI number 1790068153 Active

Practice location

4615 Government St
Baton Rouge, LA 70806-5922

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X5867 (LA)
Clinical Social Worker Primary 1041C0700X5867 (LA)

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 1790068153

Beronica Lynn Sullivan, LCSW's National Provider Identifier is 1790068153, issued on Sep 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Aug 18, 2020.