Connor Sullivan, MSW, PLMHP, PCMSW
Counselor, Mental Health in Lincoln, NE. Individual provider (NPI-1).
NPI number1619707932
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1619707932
- Entity type
- Individual (NPI-1)
- Name
- Connor Sullivan
- Credential
- MSW, PLMHP, PCMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2024
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 14213 | NE | Yes |
| 1041C0700X | Social Worker, Clinical | 8129 | NE |
Practice location
700 R St Ste 317Lincoln, NE 68501-0010
Phone 402-235-9224 · Fax 402-226-8894
Mailing address
3727 S 48th StLincoln, NE 68506-4308
Phone 402-235-9224 · Fax 402-226-8894
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