Individual provider · Type 1 NPI

Mary Katherine Elizabeth Sullivan, LCSW, LICSW

Clinical Social Worker · Mobile, AL

NPI number 1881267540 Active

Practice location

1204 Vendome Dr W
Mobile, AL 36609-3326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5027C (AL)
Clinical Social Worker 1041C0700X0904016013 (VA)
Clinical Social Worker 1041C0700X15192 (LA)
Clinical Social Worker 1041C0700X112281 (TX)

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 1881267540

Mary Katherine Elizabeth Sullivan, LCSW, LICSW's National Provider Identifier is 1881267540, issued on Jul 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mobile, AL. The record was last updated on May 23, 2024.