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KRISTINA SULLIVAN
NPI 1609541960
Social Worker - Clinical in Southport, CT

Active since August 10, 2021
88 HALF MILE RD, SOUTHPORT, CT 06890(704) 779-3503 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Aug 10, 2021 (2 updates tracked since 2021).

About Kristina Sullivan NPPES

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

KRISTINA SULLIVAN (NPI 1609541960) is an individual clinical provider in Southport, Connecticut and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1609541960
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA SULLIVAN
Location Address88 HALF MILE RDSouthport, CT 06890-3032
Mailing Address88 Half Mile RdSouthport, CT 06890-3032 · (203) 450-2391
Phone(704) 779-3503
Sole ProprietorYes
Enumeration DateAugust 10, 2021
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1609541960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
88 HALF MILE RD, Southport, CT 06890
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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 Kristina Sullivan's NPI number?

The NPI number for Kristina Sullivan is 1609541960. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Kristina Sullivan located?

Kristina Sullivan practices at 88 Half Mile Rd, Southport, CT 06890. The listed phone number is (704) 779-3503.

What is Kristina 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 Kristina Sullivan was last updated on September 20, 2021. 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.