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

Mrs. Jennifer Lynn Sullivan, LCSW

Individual provider Clinical Social Worker · NPI 1619919594

Mrs. Jennifer Lynn Sullivan, LCSW is a Clinical Social Worker in Ocoee, Florida. Qualified in 2014, 12 years ago. Practices with Advanced Behavioral Health Center PA, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2006
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

8937 W Colonial Dr
Ocoee, FL 34761-6918
Phone: (407) 628-1584
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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 SW4760 (FL)

Record details

NPI number1619919594
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 24, 2020
Certification dateDecember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advanced Behavioral Health Center Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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