Sullivan Counseling and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SULLIVAN COUNSELING AND WELLNESS, LLC

Practice address

61 Sage Dr
Berlin, CT 06037-3101

Phone

(860) 989-0158

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine S. Sullivan, LCSWNPI 1952155350

Title

Social Worker

Phone

(860) 989-0158

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine S. Sullivan, LCSW

  • Clinical Social Worker
  • Berlin, CT
  • NPI 1952155350
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1235983933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SAGE DR",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373101",
            "telephone_number": "860-989-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SAGE DR",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373101",
            "telephone_number": "860-989-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "860-989-0158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stop and Shop Supermarket Co LLC
• Nurjhan Strachan-Spence, LMFT
• Teo-Carlo Straun, M.D.
• Suhradam Medical
• Suhradam Medical Practice, LLC
• Catherine S. Sullivan, LCSW
• Lynn Swanson, APRN
• Janet K Szymanski, RPH
• Kyrsti Ann Tam, LMFT
• Kathleen X Taylor, LPC

• Clinical Social Worker in Berlin, CT
• Providers in Berlin, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.