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MS. KEESHA MONAIE SULLIVAN LCSW
NPI 1053653840
Social Worker - Clinical in Tampa, FL

Active since March 20, 2013
4100 W KENNEDY BLVD, SUITE 327, TAMPA, FL 33609(727) 692-7364 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Keesha Monaie Sullivan Lcsw NPPES

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

MS. KEESHA MONAIE SULLIVAN LCSW (NPI 1053653840) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW11227) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1053653840
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KEESHA MONAIE SULLIVANCredential: LCSW
Location Address4100 W KENNEDY BLVD, SUITE 327Tampa, FL 33609-2288
Mailing Address8450 112th St., Unit 104Seminole, FL 33772-4221 · (727) 692-7364
Phone(727) 692-7364
Sole ProprietorYes
Enumeration DateMarch 20, 2013
Last NPPES UpdateMay 2, 2013
✔ NPI 1053653840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW11227✔ Licensed in NY · 070494
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.
4100 W KENNEDY BLVD, Tampa, FL 33609
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MICHELE WILLIAMS R.N.
Registered Nurse
4100 W KENNEDY BLVD, 114
TAMPA, FL 33609
Hillsborough County (813) 639-1915
TOTAL VITALITY MEDICAL GROUP
Non-Pharmacy Dispensing Site
4100 W KENNEDY BLVD, SUITE 114
TAMPA, FL 33609
Hillsborough County (813) 283-1910
MILLYAN CABRERA, LMHC, RPT
Counselor (Mental Health)
4100 W KENNEDY BLVD, SUITE 120
TAMPA, FL 33609
Hillsborough County (813) 391-3610
KATHERINE MARGARET ROTH LCSW
Social Worker (Clinical)
4100 W KENNEDY BLVD, SUITE 326
TAMPA, FL 33609
Hillsborough County (248) 761-3284
MICHAELA JOY KEARNEY LCSW
Social Worker (Clinical)
4100 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (727) 415-3848
DR. MARK C KLISCH PH.D.
Psychologist (Clinical)
4100 W KENNEDY BLVD, SUITE 327
TAMPA, FL 33609
Hillsborough County (813) 288-8060
FOUNDATIONS FOR GROWTH, PLLC
Social Worker (Clinical)
4100 W KENNEDY BLVD, SUITE 326
TAMPA, FL 33609
Hillsborough County (813) 773-5767
LYNN G ALLEN LMHC, LMFT
Counselor (Mental Health)
4100 W KENNEDY BLVD, SUITE 226
TAMPA, FL 33609
Hillsborough County (813) 480-2401

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 Keesha Sullivan's NPI number?

The NPI number for Keesha Sullivan is 1053653840. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Keesha Sullivan located?

Keesha Sullivan practices at 4100 W Kennedy Blvd Suite 327, Tampa, FL 33609. The listed phone number is (727) 692-7364.

What is Keesha 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 Keesha Sullivan was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.