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JACQUELINE A SULLIVAN MSW
NPI 1245337435
Social Worker - Clinical in Waterbury, CT

Active since September 20, 2006
417 HIGHLAND AVENUE, SUITE 1, WATERBURY, CT 06708(203) 755-9300(203) 754-3196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline A Sullivan Msw NPPES

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

JACQUELINE A SULLIVAN MSW (NPI 1245337435) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (002488) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1245337435
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE A SULLIVANCredential: MSW
Location Address417 HIGHLAND AVENUE, SUITE 1Waterbury, CT 06708
Mailing Address417 Highland Avenue, Suite 1Waterbury, CT 06708 · (203) 755-9300 · Fax (203) 754-3196
Phone(203) 755-9300
Fax(203) 754-3196
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245337435 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 · 002488
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.
417 HIGHLAND AVENUE, Waterbury, CT 06708
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Other Identifiers 1

Other140002488CT03CT · Anthem Blue Cross Blue Sh

Other Providers at the Same Location NPPES

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

CHILD AND ADULT PSYCHIATRIC SERVICES PC
Psychiatry & Neurology (Psychiatry)
417 HIGHLAND AVENUE, SUITE 1
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 755-9300

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 Jacqueline Sullivan's NPI number?

The NPI number for Jacqueline Sullivan is 1245337435. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jacqueline Sullivan located?

Jacqueline Sullivan practices at 417 Highland Avenue Suite 1, Waterbury, CT 06708. The listed phone number is (203) 755-9300.

What is Jacqueline 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 Jacqueline Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.