National Provider Identifier
Richard M Sullivan, LCSW-R
Richard M Sullivan, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Clarence, NY and a listed phone number of (716) 741-2138.
Profile Overview
- NPI
- 1588694434
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 04, 2006
- Last Updated
- September 25, 2007
Practice Location
- 5420 Shimerville RD
- Clarence, NY 14031-1118
Phone: (716) 741-2138
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1588694434
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Richard
- Middle Name
- M
- Credential
- LCSW-R
- Mailing Street Address
- 5420 Shimerville RD
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1118
- Mailing Country
- US
- Mailing Phone
- (716) 741-2138
- Practice Street Address
- 5420 Shimerville RD
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1118
- Practice Country
- US
- Practice Phone
- (716) 741-2138
- Enumeration Date
- July 04, 2006
- Last Updated
- September 25, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00052410001 (NY, Univera), 000528842001 (NY, Blue Cross & Blue Shield), 6290360 (NY, Independent Health), 7484558 (NY, Ghi)