Active NPIIndividual provider

Amanda A Sullivan, LCSW

Social Worker, Clinical in Asheville, North Carolina

NPI Number1457633752
Practice location
100 Technology Dr Ste A, Asheville, NC 28803-5009
Fax
—
Last updated
May 3, 2022

Amanda Allien Vivian Sullivan is a Social Worker, Clinical based in Asheville, NC. Amanda Allien Vivian Sullivan practices in Asheville, NC and has the professional credentials of LCSW. The NPI Number for Amanda Allien Vivian Sullivan is 1457633752 and holds a License No. 119185 (MA). The current practice location address for Amanda Allien Vivian Sullivan is 100 Technology Dr Ste A, Asheville, NC 28803-5009 and can be reached out via phone at 828-251-6319.

Provider Profile Details

NPI Number
1457633752
Provider Name
Amanda Allien Vivian Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
100 Technology Dr Ste A, Asheville, NC 28803-5009
Phone Number
828-251-6319
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Amanda Polzin (Former Name)
Provider Enumeration Date
September 13, 2011
Last Update Date
May 3, 2022
Certification Date
May 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Technology Dr Ste A
Asheville, NC 28803-5009
Zip
28803-5009
Phone Number
828-251-6319
Asheville, NC 28803Get directions →

Provider Business Mailing Address Details

Address
100 Technology Dr Ste A
Asheville, NC 28803-5009
City
Asheville
State
NC
Zip
28803-5009
Phone Number
919-445-7020
Fax Number
919-445-2352

License Information

License Number (1)
119185
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (3)
C011779
License State (3)
NC
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda A Sullivan, LCSW?

The NPI number of Amanda A Sullivan, LCSW is 1457633752. It was assigned on September 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Amanda A Sullivan, LCSW?

Amanda A Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119185.

Where does Amanda A Sullivan, LCSW practice?

The practice location is 100 Technology Dr Ste A, Asheville, NC 28803-5009. The office can be reached at 828-251-6319 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457633752 directly on the NPPES registry website.

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