Individual
CONNOR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, PLMHP, PCMSW
Contact information
Practice address
4316 S 48TH ST STE 2, LINCOLN, NE 68516-1287
(402) 205-7976
Mailing address
4316 S 48TH ST STE 2, LINCOLN, NE 68516-1287
(402) 205-7976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14213
NE
101YM0800X
Mental Health Counselor
Primary
14213
NE
104100000X
Social Worker
Primary
3445
NE
1041C0700X
Clinical Social Worker
8129
NE
Other
Enumeration date
08/02/2024
Last updated
05/10/2026
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