MR. PATRICK JOSEPH SULLIVAN LCSW
NPI 1235279209
Social Worker - Clinical in Forest Hills, NY

Active since February 07, 2007
11020 71ST RD, SUITE 111, FOREST HILLS, NY 11375(718) 793-3313(718) 793-2023 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Patrick Joseph Sullivan Lcsw NPPES

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

MR. PATRICK JOSEPH SULLIVAN LCSW (NPI 1235279209) is an individual clinical provider in Forest Hills, New York, licensed in New York (R040903) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1235279209
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PATRICK JOSEPH SULLIVANCredential: LCSW
Location Address11020 71ST RD, SUITE 111Forest Hills, NY 11375-4945
Mailing Address11020 71st Rd, Suite 111Forest Hills, NY 11375-4945 · (718) 793-3313 · Fax (718) 793-2023
Fax(718) 793-2023
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235279209 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 · R040903
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.
11020 71ST RD, Forest Hills, NY 11375

Other Identifiers 2

Medicare ID-Type Unspecified4156PHNY
Medicare UPINS16506NY

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Psychiatry)
11020 71ST RD, #104
FOREST HILLS, NY 11375
Psychiatry & Neurology (Psychiatry)
11020 71ST RD
FOREST HILLS, NY 11375
Dental Hygienist
11020 71ST RD, SUITE 120
FOREST HILLS, NY 11375
Social Worker
11020 71ST RD, SUITE 104
FOREST HILLS, NY 11375
Physical Therapist
11020 71ST RD, SUITE 101
FOREST HILLS, NY 11375
Social Worker (Clinical)
11020 71ST RD, ARISTA CENTER FOR PSYCHOTHERAPY
FOREST HILLS, NY 11375
Counselor (Mental Health)
11020 71ST RD, APT#210
FOREST HILLS, NY 11375
Social Worker (Clinical)
11020 71ST RD, SUITE 104
FOREST HILLS, NY 11375

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 Patrick Sullivan's NPI number?

The NPI number for Patrick Sullivan is 1235279209. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Patrick Sullivan located?

Patrick Sullivan practices at 11020 71st Rd Suite 111, Forest Hills, NY 11375. The listed phone number is (718) 793-3313.

What is Patrick 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 Patrick Sullivan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.