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KATHIE JEAN SULLIVAN LCSW
NPI 1508517327
Social Worker - Clinical in Dallas, TX

Active since January 13, 2022
14958 VISTARIDGE DR, DALLAS, TX 75248(307) 272-7560 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathie Jean Sullivan Lcsw NPPES

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

KATHIE JEAN SULLIVAN LCSW (NPI 1508517327) is an individual clinical provider in Dallas, Texas, licensed in Texas (106862) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1508517327
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHIE JEAN SULLIVANCredential: LCSW
Location Address14958 VISTARIDGE DRDallas, TX 75248-5562
Mailing Address14958 Vistaridge DrDallas, TX 75248-5562 · (307) 272-7560
Phone(307) 272-7560
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1508517327 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 TX · 106862✔ Licensed in CO · 09923208✔ Licensed in MT · 6905
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.
14958 VISTARIDGE DR, Dallas, TX 75248
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Other Names 1

Other Name (5)Kassie Sullivan

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 Kathie Sullivan's NPI number?

The NPI number for Kathie Sullivan is 1508517327. It was assigned to this individual provider in the NPPES registry on January 13, 2022. The provider is also known as Kassie Sullivan.

Where is Kathie Sullivan located?

Kathie Sullivan practices at 14958 Vistaridge Dr, Dallas, TX 75248. The listed phone number is (307) 272-7560.

What is Kathie 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 Kathie Sullivan was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.