Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica C Sullivan, LCSW-R

Individual provider Clinical Social Worker · NPI 1396085304

Jessica C Sullivan, LCSW-R is a Clinical Social Worker in Monroe, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

360 State Route 17M Ste 4
Monroe, NY 10950-3443
Phone: (845) 547-0479
Fax: (845) 547-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 236 Crystal Run Rd, Middletown, NY 10941-4060 — (845) 547-0479
  • 2 Overlook Dr, Warwick, NY 10990-1810 — (845) 547-0479

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R085591 (NY)

Record details

NPI number1396085304
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedFebruary 28, 2013
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

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