Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SULLIVAN, MSW, LCSW
Active Sole ProprietorKELLY SULLIVAN, MSW, LCSW is a Clinical Social Worker healthcare provider located in MILWAUKIE, Oregon. NPI 1457645434 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MILWAUKIE, OR
Registration Details
- NPI Number
- 1457645434
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2011 (15.164027233307 yrs)
- Last Updated
- Jan 30, 2017
- License
-
L4631 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10883 SE MAIN STSTE. 204MILWAUKIE, OR, 972227641Browse OR providers · Browse ZIP 97222
- Phone
- 5033812422
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MILWAUKIE, OR
| Name | Credential | NPI |
|---|---|---|
| ANNETTE GILMORE WALKER | LCSW | 1730111279 |
| MOLLY GORDON-SCHNACKY | MSW, LCSW | 1982770905 |
| JUSTIN C O'HANLON | LCSW | 1992860803 |
| EILEEN MASOVER | MSW | 1750447702 |
| COLETTE DAWN KELSEY | LCSW | 1588799621 |
| VERONICA GENTLE | — | 1619006111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.