Katherine O'Sullivan, LCSW
Social Worker, Clinical in Brewster, NY. Individual provider (NPI-1).
NPI number1619731908
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1619731908
- Entity type
- Individual (NPI-1)
- Name
- Katherine O'Sullivan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 081032-1 | NY | Yes |
Practice location
21 Marlin RdBrewster, NY 10509-1009
Phone 646-734-7891
Mailing address
21 Marlin RdBrewster, NY 10509-1009
Phone 646-734-7891
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