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MS. MARY M SULLIVAN LCSW
NPI 1174551030
Social Worker - Clinical in Cos Cob, CT

Active since June 29, 2006
132 E PUTNAM AVE, SUITE H, COS COB, CT 06807(203) 962-2209(203) 962-2209 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary M Sullivan Lcsw NPPES

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

MS. MARY M SULLIVAN LCSW (NPI 1174551030) is an individual clinical provider in Cos Cob, Connecticut, licensed in Connecticut (005814) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174551030
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY M SULLIVANCredential: LCSW
Location Address132 E PUTNAM AVE, SUITE HCos Cob, CT 06807-2744
Mailing Address132 E Putnam AveCos Cob, CT 06807-2744 · (203) 962-2209 · Fax (203) 962-2209
Phone(203) 962-2209
Fax(203) 962-2209
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 6, 2011
✔ NPI 1174551030 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 CT · 005814
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.
132 E PUTNAM AVE, Cos Cob, CT 06807
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Other Identifiers 2

Medicaid004172912CT
Medicaid004172920CT

Other Providers at the Same Location NPPES 6

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

DR. PAULINE HOPPER JORDAN PHD
Psychologist
132 E PUTNAM AVE
COS COB, CT 06807
Western Connecticut Planning Region (203) 622-9868
COS COB COUNSELING CENTER
Social Worker (Clinical)
132 E PUTNAM AVE, SUITE H
COS COB, CT 06807
Western Connecticut Planning Region (203) 962-2209
EJ LEHMAN ASSOCIATES PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
132 E PUTNAM AVE
COS COB, CT 06807
Western Connecticut Planning Region (917) 854-3524
MRS. ELIZABETH A. O'BRIEN LPC
Counselor (Professional)
132 E PUTNAM AVE
COS COB, CT 06807
Western Connecticut Planning Region (914) 393-1202
MS. PAMELA GAIL SPERLING MA, EDM, LPC
Counselor (Professional)
132 E PUTNAM AVE, 2 EAST
COS COB, CT 06807
Western Connecticut Planning Region (203) 892-5867
MRS. TANGLEY CANPBELL LLOYD LCSW
Social Worker (Clinical)
132 E PUTNAM AVE
COS COB, CT 06807
Western Connecticut Planning Region (203) 918-7877

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 Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1174551030. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Mary Sullivan located?

Mary Sullivan practices at 132 E Putnam Ave Suite H, Cos Cob, CT 06807. The listed phone number is (203) 962-2209.

What is Mary 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 Mary Sullivan was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.