Leslie Sullivan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55336 Issued in TX

Practice address

3419 Westminster Ave # 215
Dallas, TX 75205-1387

Phone

(214) 766-4784

NPI assigned

Dec 29, 2020

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1326635087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 WESTMINSTER AVE # 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051387",
            "telephone_number": "214-766-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 WESTMINSTER AVE # 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051387",
            "telephone_number": "214-766-4784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Marquette St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752255432",
            "country_code": "US",
            "telephone_number": "214-766-4784",
            "fax_number": "214-360-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Sullivan, LPC
• Juliet E. Sullivan, M.D.
• Kathie Jean Sullivan, LCSW
• Katrina Sullivan, PA
• Lauren Tujague Sullivan, PA-C
• Leticia Sanchez Sullivan, LCSW
• Luke Edward Sullivan
• Macy Crabb Sullivan, RN
• Mikaelyn Sullivan
• Nicole Sullivan, LMSW

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.