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

Nancy Anne Sullivan, LCSW

Individual provider Clinical Social Worker · NPI 1619112828

Nancy Anne Sullivan, LCSW is a Clinical Social Worker in Rego Park, New York. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2008
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

9729 64th Rd
Rego Park, NY 11374-2240
Phone: (718) 896-3400
Fax: (718) 459-5621
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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 075477 (NY)

Record details

NPI number1619112828
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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