Holly Ann Sullivan is a Clinical in Phoenix, Arizona. Holly Ann Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Holly Ann Sullivan is 1346422011. The last update date is 2022-07-21.
Holly Ann Sullivan's current location address is 34406 N. 27th Drive, Phoenix, Arizona. You can contact this provider via phone number 6024921886. The mailing address for Holly Ann Sullivan is 34406 N. 27th Drive, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Ann Sullivan |
|---|---|
| Address | 34406 N. 27th Drive, Phoenix, Arizona |
| Phone Number | 6024921886 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1346422011 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 34406 N. 27th Drive |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85085 |
| Phone Number | 6024921886 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: 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, certif |
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What is the unique identifier code issued to Holly Ann Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Holly Ann Sullivan has been assigned the NPI (National Provider Identifier) 1346422011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Holly Ann Sullivan's physical address?
The Holly Ann Sullivan is physically located at 34406 N. 27Th Drive, in the city of Phoenix, AZ, with the postal code 85085.
What is the Holly Ann Sullivan's specialty and taxonomy code?
The Holly Ann Sullivan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Holly Ann Sullivan receive its 1346422011 assignment from the Centers for Medicare & Medicaid Services?
The Holly Ann Sullivan was assigned its 1346422011 by the Centers for Medicare & Medicaid Services on 2007-12-04.
As of what date were the Holly Ann Sullivan's details last updated?
The information pertaining to the Holly Ann Sullivan, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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