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

Mr. Robert Dennis Sullivan, LCSW

Individual provider Counselor · NPI 1679609911

Mr. Robert Dennis Sullivan, LCSW is a Counselor in Ketchikan, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
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

102 Carlanna Lake Rd
Ketchikan, AK 99901
Phone: (907) 225-5576
Fax: (206) 299-4244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 605 (AK)

Record details

NPI number1679609911
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 8, 2007

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