Individual provider · Type 1 NPI

Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT

Clinical Social Worker · Seattle, WA

NPI number 1912521469 Active

Practice location

12245 N Park Ave N
Seattle, WA 98133-8026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO61062660 (WA)
Clinical Social Worker Primary 1041C0700XLW61541936 (WA)

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 1912521469

Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT's National Provider Identifier is 1912521469, issued on Jun 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Jul 17, 2024.