National Provider Identifier
Laura Sullivan, LCSW, CASAC
Laura Sullivan, LCSW, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 342-3451.
Profile Overview
- NPI
- 1881066785
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 30, 2015
- Last Updated
- April 09, 2025
Practice Location
- 305 E Falls St # 1
- Ithaca, NY 14850-3705
Phone: (607) 342-3451
Specialties
- Clinical Social Worker (1041C0700X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1881066785
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Laura
- Credential
- LCSW, CASAC
- Mailing Street Address
- 305 E Falls St # 1
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3705
- Mailing Country
- US
- Mailing Phone
- (607) 342-3451
- Practice Street Address
- 305 E Falls St # 1
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3705
- Practice Country
- US
- Practice Phone
- (607) 342-3451
- Enumeration Date
- October 30, 2015
- Last Updated
- April 09, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X)