Individual provider · Type 1 NPI
Kristine J. Sullivan, LCSW
Clinical Social Worker · Bloomington, IN
Practice location
3105 S Sare Rd Apt 300
Bloomington, IN 47401-4378
Fax (812) 585-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34005593A (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 1851542096
Kristine J. Sullivan, LCSW's National Provider Identifier is 1851542096, issued on Oct 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Dec 14, 2022.