MR. ROBERT DENNIS SULLIVAN LCSW
NPI 1679609911
Counselor in Ketchikan, AK

Q: What is Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1679609911. It was assigned to this individual provider in the NPPES registry on February 23, 2007. The provider is also known as Mr. Robert Dennis Sullivan Lcsw.

Q: What is Robert Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert 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.

Active since February 23, 2007

102 CARLANNA LAKE ROAD, KETCHIKAN, AK 99901(907) 225-5576(206) 299-4244 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Robert Dennis Sullivan Lcsw NPPES

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

MR. ROBERT DENNIS SULLIVAN LCSW (NPI 1679609911) is an individual counselor in Ketchikan, Alaska, licensed in Alaska (605) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1679609911

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. ROBERT DENNIS SULLIVANCredential: LCSW

Location Address102 CARLANNA LAKE ROADKetchikan, AK 99901

Mailing Address3183 Jackson Heights StKetchikan, AK 99901-5782 · (907) 225-5576 · Fax (206) 299-4244

Phone(907) 225-5576

Fax(206) 299-4244

Sole ProprietorYes

Enumeration DateFebruary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679609911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AK · 605

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

102 CARLANNA LAKE ROAD, Ketchikan, AK 99901

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Robert Dennis Sullivan Lcsw

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 Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1679609911. It was assigned to this individual provider in the NPPES registry on February 23, 2007. The provider is also known as Mr. Robert Dennis Sullivan Lcsw.

Where is Robert Sullivan located?

Robert Sullivan practices at 102 Carlanna Lake Road, Ketchikan, AK 99901. The listed phone number is (907) 225-5576.

What is Robert Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Robert 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.