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

Kristina Sullivan

Individual provider Clinical Social Worker · NPI 1609541960

Kristina Sullivan is a Clinical Social Worker in Southport, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

88 Half Mile Rd
Southport, CT 06890-3032
Phone: (704) 779-3503
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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

Record details

NPI number1609541960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address88 Half Mile Rd, Southport, CT 06890-3032

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