JESSICA C SULLIVAN


Address: 360 State Route 17m, Suite 4, Monroe, NY 10950-3443
Phone: 8455470479

JESSICA C SULLIVAN (NPI# 1396085304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396085304
Entity Type Individual
Full Name JESSICA C SULLIVAN
Credential LCSW-R
Practice Address 360 State Route 17m
Suite 4
Monroe
NY 10950-3443
Practice Telephone 8455470479
Practice Fax Number 8455470479
Mailing Telephone 8455470479
Mailing Fax Number 8455470479
Enumeration Date 2013-02-28
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R085591 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Overlook Dr, Warwick, NY 109901810 8455470479
236 Crystal Run Rd, Middletown, NY 109414060 8455470479

Other Providers JESSICA SULLIVAN

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1205321775 Jessica Marie Sullivan Behavior Technician 28 Laurel Rd, Milton, MA 02186-1522 2018-06-27
1245731280 Jessica Sullivan Physical Therapist 106 Tonkin St, Beaverton, MI 48612-8116 2018-02-26
1508265737 Jessica Page Sullivan Nurse Practitioner 10 W Madison St Ste 11, Baltimore, MD 21201 2014-08-13
1700217502 Jessica Sullivan Speech-Language Pathologist 435 S Sunset Dr, El Centro, CA 92243-5553 2013-12-03
1699108944 Jessica Nicole Sullivan Occupational Therapist 210 S County Road 675 W, North Vernon, IN 47265-7536 2013-08-09
1285994160 Jessica Rea Sullivan Social Worker 15 Belcher St, Sharon, MA 02067-1305 2012-05-24
1336448984 Jessica Marie Sullivan Counselor 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 2011-03-22
1063664134 Jessica Lynn Sullivan Physical Therapist 7 Locust Dr, Greenwood Lake, NY 10925-2728 2008-10-21

Office Location

Street Address 360 STATE ROUTE 17M
SUITE 4
City MONROE
State NY
Zip Code 10950-3443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902218399 Justin Jacapraro Physical Therapist 360 State Route 17m, Monroe, NY 10950 2014-05-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588202063 Tova Schur Physician Assistant 2 Strelisk Court, Monroe, NY 10950 2019-12-16
1265947238 Brenda Ayllene Sabatello Specialist 126 Barr Lne, Monroe, NY 10950 2017-12-12
1740719038 Heartstrings LLC Home Health 6 Mountain Road, Unit 204, Monroe, NY 10950 2017-06-08
1841739752 Committed Home Care Inc. Home Health 14 Fillmore Court Unit 311, Monroe, NY 10950 2017-02-13
1104362813 Alison Guiney Case Manager/Care Coordinator 101 Stage Road, Monroe, NY 10950 2017-01-19
1710436332 Elite Services Ny Inc. Home Health 48 Bakertown Road Suite 204, Monroe, NY 10950 2016-09-23
1780047084 Stephanie Santiago Occupational Therapy Assistant 27 Sandra Ln, Monroe, NY 10950 2016-04-04
1851770440 Priority Home Care Services, Inc. Home Health 48 Bakertown Road, Suite 204, Monroe, NY 10950 2015-05-28
1518344274 Mydesh Inc Pharmacy 581 Nys Route 17m, Monroe, NY 10950 2015-05-01
1942694377 Yenty Fischel Occupational Therapist 1 Diner Rd, Monroe, NY 10950 2015-03-24
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801413406 Tamara Blount Social Worker 351 E Village Dr, Monroe, NC 28112-8194 2020-06-30
1083246094 Community Counseling Solutions Social Worker 2211 Redwood Dr, Monroe, LA 71201-3631 2020-02-07
1205470135 Crystal Bradley Social Worker 24 Seals Dr, Monroe, NY 10950-3949 2019-11-04
1184270951 Judy M Steverson Social Worker 1501 N Charlotte Ave Ste C214, Monroe, NC 28110-2525 2019-08-16
1669932117 Christine Fuchs Social Worker 755 Main Street, Building 8, Monroe, CT 06468 2019-03-21
1073078408 Sharelle Monique Hatley Social Worker 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 2019-02-11
1740762509 Fox Counseling and Consulting, Pllc Social Worker 311 W Jefferson Street, Monroe, NC 28112 2018-08-29
1780101774 Cara Bonwell-orr Social Worker 2242 W Roosevelt Blvd Ste G, Monroe, NC 28110-3071 2017-08-29
1982132718 Support Throughout The Journey, LLC Social Worker 238 Monroe Tpke Unit B, Monroe, CT 06468-6200 2017-05-24
1124555818 Jasmine Ashley Iannotti Social Worker 304 E Phifer St, Monroe, NC 28110-3039 2017-05-12
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Competitor

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City MONROE
Zip Code 10950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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