National Provider Identifier
Shannon Sullivan, MSW
Shannon Sullivan, MSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 698-5747.
Profile Overview
- NPI
- 1831725662
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 12, 2020
- Last Updated
- March 12, 2020
Practice Location
- 224 Alexander St
- Rochester, NY 14607-4000
Phone: (585) 698-5747
Mailing Address
- 127 W Church St
- Fairport, NY 14450-2113
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1831725662
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Shannon
- Credential
- MSW
- Mailing Street Address
- 127 W Church St
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2113
- Mailing Country
- US
- Practice Street Address
- 224 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4000
- Practice Country
- US
- Practice Phone
- (585) 698-5747
- Enumeration Date
- March 12, 2020
- Last Updated
- March 12, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)