Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradi Patrice Sullivan, MSW, LICSW, LCSW

Individual provider Mental Health Counselor · NPI 1174195036

Bradi Patrice Sullivan, MSW, LICSW, LCSW is a Mental Health Counselor in Truckee, California. Works from 4 locations. Licensed in Iowa, Virginia and Washington.

Licensed in
IA, VA, WA
In the registry since
2021
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone: (415) 424-4266
Fax: (415) 520-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 699 Walnut St Ste 400, Des Moines, IA 50309-3962 — (415) 424-4266
  • 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 — (415) 424-4266
  • 100 N Fruitland St Ste A, Kennewick, WA 99336-3814 — (509) 581-0303

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61330062 (WA)
Mental Health Counselor Taxonomy 101YM0800X (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904016390 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 127400 (IA)

Record details

NPI number1174195036
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW , LCSW
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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