Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1902272651


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MARIA SULLIVAN LCSW


Sex: Female

NPI: 1902272651
Last Updated: 2024-09-26
Certification Date: 2024-09-26

Details

NameValue
NPI1902272651
Enumeration Date2015-08-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 3546
PHILADELPHIA, PA 19122-0546
United States

Phone: 215-486-0858 | Fax:207-531-3582
 
Primary Practice Address 1299 N 7TH ST
PHILADELPHIA, PA 19122-4396
United States

Phone: 215-486-0858 | Fax:207-531-3582
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - Clinical
Yes 1041C0700X - Social Worker - ClinicalPACW021420