Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corissa Dante Sullivan

Individual provider Clinical Social Worker · NPI 1033865712

Corissa Dante Sullivan is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

470 E 3rd St
Los Angeles, CA 90013-1629
Phone: (213) 620-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 110009 (CA)

Record details

NPI number1033865712
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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