National Provider Identifier
John P Sullivan, LCSW-R
John P Sullivan, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 286-2824.
Profile Overview
- NPI
- 1073895314
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 13, 2011
- Last Updated
- September 13, 2011
Practice Location
- 1545 Saint Paul St
- Rochester, NY 14621-3156
Phone: (585) 286-2824
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1073895314
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- John
- Middle Name
- P
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 1545 Saint Paul St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3156
- Mailing Country
- US
- Mailing Phone
- (585) 286-2824
- Mailing Fax
- (585) 336-5880
- Practice Street Address
- 1545 Saint Paul St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3156
- Practice Country
- US
- Practice Phone
- (585) 286-2824
- Practice Fax
- (585) 336-5880
- Enumeration Date
- September 13, 2011
- Last Updated
- September 13, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)