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

MS. Nicole Ashley Sullivan, LCSW

Individual provider Social Worker · NPI 1932625290

MS. Nicole Ashley Sullivan, LCSW is a Social Worker in Smithtown, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
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

105 E Main St
Smithtown, NY 11787-2858
Phone: (516) 316-5047
Fax: (631) 244-0757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 091617 (NY)
Social Worker Taxonomy 104100000X · Licence 100945 (NY)

Record details

NPI number1932625290
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021

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