Kristina Sullivan
Social Worker, Clinical in Southport, Connecticut
1609541960- Practice location
- 88 Half Mile RD, Southport, CT 06890-3032
- Phone
- 704-779-3503
- Fax
- —
- Last updated
- September 20, 2021
Kristina Sullivan is a Social Worker, Clinical based in Southport, CT. Kristina Sullivan practices in Southport, CT. The NPI Number for Kristina Sullivan is 1609541960. The current practice location address for Kristina Sullivan is 88 Half Mile RD, Southport, CT 06890-3032 and can be reached out via phone at 704-779-3503.
Provider Profile Details
- NPI Number
- 1609541960
- Provider Name
- Kristina Sullivan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 88 Half Mile RD, Southport, CT 06890-3032
- Phone Number
- 704-779-3503
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 10, 2021
- Last Update Date
- September 20, 2021
- Certification Date
- September 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 Half Mile RD
Southport, CT 06890-3032 - City
- Southport
- State
- Connecticut
- Zip
- 06890-3032
- Phone Number
- 704-779-3503
Provider Business Mailing Address Details
- Address
- 88 Half Mile RD
Southport, CT 06890-3032 - City
- Southport
- State
- CT
- Zip
- 06890-3032
- Phone Number
- 203-450-2391
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Southport, CT
View all Social Worker, Clinical providers in Southport →- Ana C Messenger, LCSWSocial Worker, Clinical · NPI 1013648393
- Ann M Sandercox, LCSWSocial Worker, Clinical · NPI 1891328225
- Anne-Line BlancoSocial Worker, Clinical · NPI 1669294203
- Bradley W BloomSocial Worker, Clinical · NPI 1285424804
- Elizabeth Perry, LCSWSocial Worker, Clinical · NPI 1205389954
- Heather L Rosenbaum, LCSWSocial Worker, Clinical · NPI 1356085765
Frequently Asked Questions
What is the NPI number of Kristina Sullivan?
The NPI number of Kristina Sullivan is 1609541960. It was assigned on August 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Kristina Sullivan?
Kristina Sullivan is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Kristina Sullivan practice?
The practice location is 88 Half Mile RD, Southport, CT 06890-3032. The office can be reached at 704-779-3503 (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 1609541960 directly on the NPPES registry website.