MR. ROBERT JACKSON SULLIVAN III MSW, LCSWA
NPI 1679258149
Social Worker - Clinical in Charlotte, NC

Q: What is Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1679258149. It was assigned to this individual provider in the NPPES registry on June 21, 2023. The provider is also known as Mr. Rob J Sullivan Msw, Lcswa.

Q: What is Robert Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Robert Sullivan was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 21, 2023

3506 W TYVOLA RD, CHARLOTTE, NC 28208(205) 601-4845 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, Jun 21, 2023 (2 updates tracked since 2023).

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About Mr. Robert Jackson Sullivan Iii Msw, Lcswa NPPES

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

MR. ROBERT JACKSON SULLIVAN III MSW, LCSWA (NPI 1679258149) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1679258149

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. ROBERT JACKSON SULLIVAN IIICredential: MSW, LCSWA

Location Address3506 W TYVOLA RDCharlotte, NC 28208-7201

Mailing Address3207 Edsel PlCharlotte, NC 28205-4352 · (205) 601-4845

Phone(205) 601-4845

Sole ProprietorYes

Enumeration DateJune 21, 2023

Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1679258149 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.

3506 W TYVOLA RD, Charlotte, NC 28208

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Other Names 1

Other Name (5)Mr. Rob J Sullivan Msw, Lcswa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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