Kathleen Ann Sullivan in Minneapolis - Clinical

Kathleen Ann Sullivan - NPI 1467574715

Kathleen Ann Sullivan is a Clinical in Minneapolis, Minnesota. Kathleen Ann Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Ann Sullivan is 1467574715. The last update date is 2020-10-19.

Kathleen Ann Sullivan's current location address is 621 W Lake St Ste 350, Minneapolis, Minnesota. You can contact this provider via phone number 6129792276 and fax number 6129250427. The mailing address for Kathleen Ann Sullivan is 621 W Lake St Ste 350, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Ann Sullivan
Address 621 W Lake St Ste 350, Minneapolis, Minnesota
Phone Number 6129792276
Fax Number 6129250427
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1467574715
Provider Enumeration Date 2007-04-06
Last Updated Date 2020-10-19

Provider Mailing Address Detail

Address 621 W Lake St Ste 350
City Minneapolis
State Minnesota (MN)
Post Code 554082952
Phone Number 6129792276
Fax Number 6129250427

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 13480
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 Kathleen Ann Sullivan

What is the unique provider identifier assigned to Kathleen Ann Sullivan?

The Kathleen Ann Sullivan has been issued the NPI (National Provider Identifier) 1467574715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Kathleen Ann Sullivan located?

The Kathleen Ann Sullivan is located at 621 W Lake St Ste 350, Minneapolis, MN 554082952.

What is Kathleen Ann Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kathleen Ann Sullivan is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date was the 1467574715 assigned to Kathleen Ann Sullivan?

The Kathleen Ann Sullivan was issued its 1467574715 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kathleen Ann Sullivan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kathleen Ann Sullivan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-19.

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