Active NPIIndividual provider

Samantha Sullivan, LCSW

Social Worker, Clinical in Beachwood, New Jersey

NPI Number1801636543
Practice location
301 Spar Ave, Beachwood, NJ 08722-3812
Fax
—
Last updated
March 6, 2025

Samantha Sullivan is a Social Worker, Clinical based in Beachwood, NJ. Samantha Sullivan practices in Beachwood, NJ and has the professional credentials of LCSW. The NPI Number for Samantha Sullivan is 1801636543 and holds a License No. 44SC05997900 (NJ). The current practice location address for Samantha Sullivan is 301 Spar Ave, Beachwood, NJ 08722-3812 and can be reached out via phone at 908-330-7408.

Provider Profile Details

NPI Number
1801636543
Provider Name
Samantha Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
301 Spar Ave, Beachwood, NJ 08722-3812
Phone Number
908-330-7408
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2024
Last Update Date
March 6, 2025
Certification Date
March 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Spar Ave
Beachwood, NJ 08722-3812
Zip
08722-3812
Phone Number
908-330-7408
Beachwood, NJ 08722Get directions →

Provider Business Mailing Address Details

Address
301 Spar Ave
Beachwood, NJ 08722-3812
City
Beachwood
State
NJ
Zip
08722-3812

License Information

License Number
44SC05997900
License State
NJ
Taxonomy
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 Samantha Sullivan, LCSW?

The NPI number of Samantha Sullivan, LCSW is 1801636543. It was assigned on May 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Samantha Sullivan, LCSW?

Samantha Sullivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05997900.

Where does Samantha Sullivan, LCSW practice?

The practice location is 301 Spar Ave, Beachwood, NJ 08722-3812. The office can be reached at 908-330-7408 (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 1801636543 directly on the NPPES registry website.

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