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

Kelley M Sullivan, LCSW

Individual provider Clinical Social Worker · NPI 1962528778

Kelley M Sullivan, LCSW is a Clinical Social Worker in Longmont, Colorado. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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

166 High Point Dr
Longmont, CO 80504-8540
Phone: (512) 905-0072
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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 50388 (TX)

Record details

NPI number1962528778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

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