Individual provider · Type 1 NPI
Kelley M. Sullivan, LCSW
Clinical Social Worker · Longmont, CO
Practice location
166 High Point Dr
Longmont, CO 80504-8540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 50388 (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 1962528778
Kelley M. Sullivan, LCSW's National Provider Identifier is 1962528778, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longmont, CO. The record was last updated on Oct 17, 2025.