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

Jessica Lynn Sullivan

Individual provider Clinical Social Worker · NPI 1174024020

Jessica Lynn Sullivan is a Clinical Social Worker in Madisonville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2018

Practice location Address checks out

200 Clinic Dr
Madisonville, KY 42431-1661
Phone: (270) 821-8874
Fax: (270) 821-8883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3999 Fort Campbell Blvd, Hopkinsville, KY 42240-4929 — (270) 886-2205

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 254179 (KY)

Record details

NPI number1174024020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESAugust 27, 2019

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