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

Dolly L Sullivan, LICSW

Individual provider Social Worker · NPI 1467638882

Dolly L Sullivan, LICSW is a Clinical Social Worker in Morgantown, West Virginia. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
22
Licensed in
WV
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

937 Cheat Rd
Morgantown, WV 26508-5631
Phone: (304) 288-3504
Fax: (304) 777-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence BP00943037 (WV)

Record details

NPI number1467638882
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2008
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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