Brenda Marie Sullivan in Auburn - Clinical

Brenda Marie Sullivan - NPI 1922116367

Brenda Marie Sullivan is a Clinical in Auburn, Indiana. Brenda Marie Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Marie Sullivan is 1922116367. The last update date is 2007-07-08.

Brenda Marie Sullivan's current location address is 1800 Wesley Rd, Auburn, Indiana. You can contact this provider via phone number 2609252453 and fax number 2609250830. The mailing address for Brenda Marie Sullivan is 1800 Wesley Rd, Auburn, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Marie Sullivan
Address 1800 Wesley Rd, Auburn, Indiana
Phone Number 2609252453
Fax Number 2609250830
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1922116367
Provider Enumeration Date 2006-08-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1800 Wesley Rd
City Auburn
State Indiana (IN)
Post Code 467063653
Phone Number 2609252453
Fax Number 2609250830

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34002471A
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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FAQs about Brenda Marie Sullivan

What is the unique 10-digit identifier code assigned to Brenda Marie Sullivan by the Centers for Medicare & Medicaid Services?

The Brenda Marie Sullivan has been issued the NPI (National Provider Identifier) 1922116367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Brenda Marie Sullivan's physical address?

The Brenda Marie Sullivan is physically located at 1800 Wesley Rd, in the city of Auburn, IN, with the postal code 467063653.

What is Brenda Marie Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brenda Marie Sullivan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When was the Brenda Marie Sullivan's 1922116367 issued?

The Brenda Marie Sullivan's 1922116367 was issued on 2006-08-27.

As of what date was the information regarding Brenda Marie Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brenda Marie Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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