National Provider Identifier
Shannon Margaret Sullivan
Shannon Margaret Sullivan is listed in the NPPES registry with a primary specialty of Social Worker in Batavia, NY and a listed phone number of (585) 344-1421.
Profile Overview
- NPI
- 1770268641
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 19, 2023
- Last Updated
- June 19, 2023
Practice Location
- 5130 E Main Street RD Ste 2
- Batavia, NY 14020-3444
Phone: (585) 344-1421
Mailing Address
- 8993 McGinty RD
- Nunda, NY 14517-9706
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1770268641
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Shannon
- Middle Name
- Margaret
- Mailing Street Address
- 8993 McGinty RD
- Mailing City
- Nunda
- Mailing State
- NY
- Mailing ZIP Code
- 14517-9706
- Mailing Country
- US
- Practice Street Address
- 5130 E Main Street RD Ste 2
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3444
- Practice Country
- US
- Practice Phone
- (585) 344-1421
- Enumeration Date
- June 19, 2023
- Last Updated
- June 19, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 19, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)