Individual provider · Type 1 NPI

Michelle Lee Sullivan, LCSW, LISAC

Clinical Social Worker · Phoenix, AZ

NPI number 1821046756 Active

Practice location

650 E Indian School Rd
Phoenix, AZ 85012-1839

Fax (602) 200-2304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-10466 (AZ)

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 1821046756

Michelle Lee Sullivan, LCSW, LISAC's National Provider Identifier is 1821046756, issued on May 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 9, 2008.