Individual provider · Type 1 NPI

Ellen J. Sullivan, LCSW

Clinical Social Worker · Sun Prairie, WI

NPI number 1861459760 Active

Practice location

10 Tower Dr
Sun Prairie, WI 53590-1239

Fax (608) 825-3794

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6903-123 (WI)

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 1861459760

Ellen J. Sullivan, LCSW's National Provider Identifier is 1861459760, issued on Apr 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sun Prairie, WI. The record was last updated on Dec 28, 2020.