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SHANNON SULLIVAN LCSW
NPI 1588609796
Social Worker - Clinical in Providence, RI

Active since June 19, 2006
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1100 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon Sullivan Lcsw NPPES

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

SHANNON SULLIVAN LCSW (NPI 1588609796) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW00722) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1588609796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON SULLIVANCredential: LCSW
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address101 Dudley StProvidence, RI 02905-2401
Phone(401) 274-1100
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateDecember 16, 2010
✔ NPI 1588609796 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 RI · CSW00722
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.
101 DUDLEY ST, Providence, RI 02905
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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.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1588609796. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1100.

What is Shannon 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 Shannon Sullivan was last updated on December 16, 2010. 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.