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

Individual provider Clinical Social Worker · NPI 1508517327

Kathie Jean Sullivan, LCSW is a Clinical Social Worker in Dallas, Texas. Practices as a sole proprietor. Licensed in Colorado, Montana and Texas.

Licensed in
CO, MT, TX
In the registry since
2022
Specialties on file
3
What do these letters mean?
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

14958 Vistaridge Dr
Dallas, TX 75248-5562
Phone: (307) 272-7560
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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 106862 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 09923208 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6905 (MT)

Record details

NPI number1508517327
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 12, 2022

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