Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT
Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT is an Addiction (Substance Use Disorder) Counselor in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
12245 N Park Ave NSeattle, WA 98133-8026
Phone: (206) 551-1464
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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 LW61541936 (WA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CO61062660 (WA) |
Record details
| NPI number | 1912521469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW , MHP , SUDPT |
| Sole proprietor | No |
| NPI enumerated | June 1, 2020 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
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