Individual provider · Type 1 NPI
Jacquelyn Ruth Sullivan, LCSW
Clinical Social Worker · Sidney, NY
Practice location
76 Main Street, Suite B
Sidney, NY 13838
Fax (607) 336-7326
Mailing address
PO Box 1046, Attn: Sally Follett-Billing Services
Norwich, NY 13815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 071014 (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…
Other clinical social worker providers in Sidney
About NPI 1952406282
Jacquelyn Ruth Sullivan, LCSW's National Provider Identifier is 1952406282, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sidney, NY. The record was last updated on Jul 27, 2011.