Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Jackson Sullivan III, MSW, LCSWA

Individual provider Clinical Social Worker · NPI 1679258149

Mr. Robert Jackson Sullivan III, MSW, LCSWA is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone: (205) 601-4845
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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 number1679258149
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSWA
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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