JEANINE SULLIVAN LCSW NPI 1437298726

NPI Information

NPI: 1437298726
Provider Name: JEANINE SULLIVAN, LCSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
61 BRADLEY ST
BRISTOL, CT
ZIP 06010
Phone: (860) 677-5967
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Jeanine Sullivan, LCSW is an addiction (substance use disorder) counselor in Bristol, CT. Jeanine Sullivan, LCSW NPI is 1437298726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

61 BRADLEY ST
BRISTOL, CT
ZIP 06010-103
Phone: (860) 677-5967

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000414	CONNECTICUT	Yes
2	1041C0700X	Social Worker	Clinical	003583	CONNECTICUT	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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