Active NPIIndividual providerSole proprietor

Mr. John M Sullivan, LCSW, CASAC

Social Worker, Clinical in Peekskill, New York

NPI Number1881812410
Practice location
735 Requa St, Peekskill, NY 10566-4615
Fax
—
Last updated
July 8, 2007

John Michael Sullivan is a Social Worker, Clinical based in Peekskill, NY. John Michael Sullivan practices in Peekskill, NY and has the professional credentials of LCSW, CASAC. The NPI Number for John Michael Sullivan is 1881812410 and holds a License No. PR025480-1 (NY). The current practice location address for John Michael Sullivan is 735 Requa St, Peekskill, NY 10566-4615 and can be reached out via phone at 914-736-2549.

Provider Profile Details

NPI Number
1881812410
Provider Name
John Michael Sullivan
Credential
LCSW, CASAC
Provider Entity Type
Individual
Gender
Male
Address
735 Requa St, Peekskill, NY 10566-4615
Phone Number
914-736-2549
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Requa St
Peekskill, NY 10566-4615
Zip
10566-4615
Phone Number
914-736-2549
Peekskill, NY 10566Get directions →

Provider Business Mailing Address Details

Address
735 Requa St
Peekskill, NY 10566-4615
City
Peekskill
State
NY
Zip
10566-4615
Phone Number
914-736-2549

License Information

License Number
PR025480-1
License State
NY
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 Mr. John M Sullivan, LCSW, CASAC?

The NPI number of Mr. John M Sullivan, LCSW, CASAC is 1881812410. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. John M Sullivan, LCSW, CASAC?

Mr. John M Sullivan, LCSW, CASAC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number PR025480-1.

Where does Mr. John M Sullivan, LCSW, CASAC practice?

The practice location is 735 Requa St, Peekskill, NY 10566-4615. The office can be reached at 914-736-2549 (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 1881812410 directly on the NPPES registry website.

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