Shannon Sullivan is a Clinical in Providence, Rhode Island. Shannon Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Sullivan is 1588609796. The last update date is 2010-12-16.
Shannon Sullivan's current location address is 101 Dudley St, Providence, Rhode Island. You can contact this provider via phone number 4012741100. The mailing address for Shannon Sullivan is 101 Dudley St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Sullivan |
|---|---|
| Address | 101 Dudley St, Providence, Rhode Island |
| Phone Number | 4012741100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588609796 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 101 Dudley St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29052401 |
| Phone Number | 4012741100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW00722 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Shannon Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Sullivan has been assigned the NPI (National Provider Identifier) 1588609796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Shannon Sullivan?
The Shannon Sullivan is situated at 101 Dudley St, in the city of Providence, state of RI, with the zip code 29052401.
What is Shannon Sullivan's area of expertise and its corresponding taxonomy classification?
The Shannon Sullivan's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shannon Sullivan receive its 1588609796 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Sullivan was assigned its 1588609796 by the Centers for Medicare & Medicaid Services on 2006-06-19.
As of what date were the details pertaining to Shannon Sullivan last refreshed?
The information related to the Shannon Sullivan, including its address, specialty, and other relevant details, was last updated on 2010-12-16.