Kayleigh Jo Sullivan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200002858 Issued in DC

Practice address

2248 N Beauregard St Apt 12
Alexandria, VA 22311-2248

Phone

(831) 747-4738

NPI assigned

Apr 24, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1184411852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 N BEAUREGARD ST APT 12",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112248",
            "telephone_number": "831-747-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N BEAUREGARD ST APT 12",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112248",
            "telephone_number": "831-747-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KAYLEIGH",
        "middle_name": "JO",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Suleman, PSY.D
• Shaan Yakub Suleman, D.C.
• Danielle Marie Sullivan, CRNA
• Emily S Sullivan, P.A.
• Heather Sullivan, LCSW
• Lauren Marcella Sullivan, PT, DPT
• Madeline Sullivan
• Phoebe Claire Sullivan
• Stephen Patrick Sullivan, RBT
• Aminata Suma

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.