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KELLY CATHERINE O'SULLIVAN LCSW
NPI 1043844053
Social Worker - Clinical in New York, NY

Active since February 28, 2020
4580 BROADWAY FRNT 1, NEW YORK, NY 10040(917) 300-9842 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Catherine O'sullivan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CATHERINE O'SULLIVAN LCSW (NPI 1043844053) is an individual clinical provider in New York, New York, licensed in New York (087595) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1043844053
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY CATHERINE O'SULLIVANCredential: LCSW
Location Address4580 BROADWAY FRNT 1New York, NY 10040-2105
Mailing Address425 E 80th St Apt 7cNew York, NY 10075-0613 · (305) 992-1784
Phone(917) 300-9842
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
✔ NPI 1043844053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 087595
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4580 BROADWAY FRNT 1, New York, NY 10040
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly O'sullivan's NPI number?

The NPI number for Kelly O'sullivan is 1043844053. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Kelly O'sullivan located?

Kelly O'sullivan practices at 4580 Broadway Frnt 1, New York, NY 10040. The listed phone number is (917) 300-9842.

What is Kelly O'sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly O'sullivan was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.