Mary M. Sullivan, LCSW

Clinical Social Worker · Cos Cob, CT

Individual Active NPI

NPI number 1174551030

Practice location

132 E Putnam Ave
Suite H
Cos Cob, CT 06807-2744
Phone
(203) 962-2209
Fax
(203) 962-2209

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NPI record

NPI
1174551030
Entity type
Individual (Type 1)
Enumeration date
June 29, 2006
Last updated
June 6, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 005814 CT

Mailing address

132 E Putnam Ave
Cos Cob, CT 06807-2744
Phone
(203) 962-2209
Fax
(203) 962-2209

About Mary Sullivan

Mary M. Sullivan, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744. The NPI number 1174551030 was assigned on June 29, 2006 and the record was last updated on June 6, 2011.

Mary Sullivan lists a license in the registry: #005814 (CT) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary M. Sullivan, LCSW?

The NPI number is 1174551030.

What is the phone number of Mary Sullivan?

The phone number listed for the practice location is (203) 962-2209.

Where is Mary Sullivan located?

132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744.

What is the taxonomy code for Mary Sullivan?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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