Madonna Sullivan, LMSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1194199943
StatusActive
Last updated in NPPESJan 26, 2017
Details
- NPI
- 1194199943
- Entity type
- Individual (NPI-1)
- Name
- Ms. Madonna Sullivan
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2015
- Last updated
- Jan 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 093896-1 | NY | Yes |
Practice location
41 E 11th StSte#4
New York, NY 10003-4602
Phone 212-477-2600
Mailing address
41 E 11th StSte#4
New York, NY 10003-4602
Phone 212-477-2600
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