Individual
KELLEY M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
166 HIGH POINT DR, LONGMONT, CO 80504-8540
(512) 905-0072
Mailing address
166 HIGH POINT DR, LONGMONT, CO 80504-8540
(512) 905-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50388
LIC. CLINICAL SOCIAL WORK
TX
Enumeration date
03/22/2007
Last updated
10/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us