Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Richard Michael Sullivan, LCSW-R

Individual provider Clinical Social Worker · NPI 1023127651

Richard Michael Sullivan, LCSW-R is a Clinical Social Worker in Newburgh, New York. Qualified in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

410 Gidney Ave Stop 3
Newburgh, NY 12550-3764
Phone: (845) 542-4416
Fax: (845) 565-5374
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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 R040746-1 (NY)

Record details

NPI number1023127651
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESJanuary 24, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newburgh