Individual provider · Type 1 NPI

John Michael Sullivan, L.C.S.W., C.A.S.A.C.

Clinical Social Worker · Peekskill, NY

NPI number 1881812410 Active

Practice location

735 Requa St
Peekskill, NY 10566-4615

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR025480-1 (NY)

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 1881812410

John Michael Sullivan, L.C.S.W., C.A.S.A.C.'s National Provider Identifier is 1881812410, issued on Apr 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peekskill, NY. The record was last updated on Jul 8, 2007.