National Provider Identifier

Mia G Sullivan, LMSW

Mia G Sullivan, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Batavia, NY and a listed phone number of (585) 297-1212.

NPI 1003798240Batavia, NYSocial Worker

Profile Overview

NPI
1003798240
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 21, 2025
Last Updated
July 21, 2025

Practice Location

  • 222 Richmond Ave
  • Batavia, NY 14020-1227

Phone: (585) 297-1212

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1003798240
Entity Type
Individual
Last Name
Sullivan
First Name
Mia
Middle Name
G
Credential
LMSW
Mailing Street Address
222 Richmond Ave
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-1227
Mailing Country
US
Mailing Phone
(585) 297-1212
Practice Street Address
222 Richmond Ave
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-1227
Practice Country
US
Practice Phone
(585) 297-1212
Enumeration Date
July 21, 2025
Last Updated
July 21, 2025
Sex
Female
Sole Proprietor
No
Certification Date
July 21, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)