Individual
EMILY SARAH SULLIVAN
Active
Individual
EMILY SARAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140516
PA
1041C0700X
Clinical Social Worker
Primary
CW026683
PA
1041C0700X
Clinical Social Worker
LICSW1142789
MA
1041C0700X
Clinical Social Worker
Q1-0012845
DE
Other
Enumeration date
09/07/2023
Last updated
03/25/2026
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