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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT JACKSON SULLIVAN III, MSW, LCSWA

Active Sole Proprietor

MR. ROBERT JACKSON SULLIVAN III, MSW, LCSWA is a Clinical Social Worker healthcare provider located in CHARLOTTE, North Carolina. NPI 1679258149 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHARLOTTE, NC

Registration Details

NPI Number
1679258149
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2023 (3.1277728816262 yrs)
Last Updated
Jul 25, 2023
Sole Proprietor
Yes

Practice Information

Address
3506 W TYVOLA RD
CHARLOTTE, NC, 282087201
Browse NC providers · Browse ZIP 28208
Phone
2056014845
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHARLOTTE, NC

Name Credential NPI
JANINE ANNETTE MULLER LCSW 1609875681
MS. JENNIFER ADAMS-ANDERSON L.C.S.W. 1669461216
MS. LINDA GIBSON MCGUIRE LCSW 1780660423
MR. ZAIDE ANDRE DAVIS LCSW 1598743338
MR. GEORGE EDWARD TILLEY LCSW 1356320790
PATRICIA JONES HEARD MSW,LCSW,LMFT 1073592267
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.