National Provider Identifier
John Peter Sullivan, CSW
John Peter Sullivan, CSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 275-6733.
Profile Overview
- NPI
- 1629084827
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 31, 2006
- Last Updated
- March 31, 2011
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0002
Phone: (585) 275-6733
Mailing Address
- 601 Elmwood Ave
- Box Psych
- Rochester, NY 14642-0001
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1629084827
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- John
- Middle Name
- Peter
- Credential
- CSW
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-6733
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0002
- Practice Country
- US
- Practice Phone
- (585) 275-6733
- Enumeration Date
- July 31, 2006
- Last Updated
- March 31, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 02307528 (NY)