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

Kevin A. Sullivan, LISW

Individual provider Counselor · NPI 1457508996

Kevin A. Sullivan, LISW is a Counselor in Sun Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1500 W Main St Ste 300 Phoenix Counseling
Sun Prairie, WI 53590
Phone: (608) 825-6711
Fax: (608) 834-6499
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 328 (WI)

Record details

NPI number1457508996
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address1532 W. Main St., Ste. 100, Sun Prairie, WA 53590

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