KELLY CATHERINE O'SULLIVAN


Address: 4580 Broadway Frnt 1, New York, NY 10040-2105
Phone: 9173009842

KELLY CATHERINE O'SULLIVAN (NPI# 1043844053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043844053
Entity Type Individual
Full Name KELLY CATHERINE O'SULLIVAN
Credential LCSW
Practice Address 4580 Broadway Frnt 1
New York
NY 10040-2105
Mailing Address 425 E 80th St Apt 7c
New York
NY 10075-0613
Practice Telephone 9173009842
Mailing Telephone 3059921784
Enumeration Date 2020-02-28
Last Update Date 2020-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
087595 NY Behavioral Health & Social Service Providers

Other Providers KELLY O'SULLIVAN

NPI Name Taxonomy Address Enumeration
1467488072 Kelly O'sullivan Physician Assistant 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 2006-06-24
1750332474 Kelly Ann O'sullivan Family Medicine 750 Se Fairwinds Loop, Vancouver, WA 98661-8087 2006-05-15
1144615519 Kelly O'sullivan Occupational Therapist 6530 33rd Ave Nw, Olympia, WA 98502-8846 2015-04-02
1881007201 Kelly O'sullivan Student in an Organized Health Care Education/Training Program 228 Linda Ave, Hawthorne, NY 10532-2050 2014-06-03

Office Location

Street Address 4580 BROADWAY FRNT 1
City NEW YORK
State NY
Zip Code 10040-2105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922550854 Dahina Tavarez Social Worker 607w 190th St Apt 2d, New York, NY 10040 2016-10-26
1518418011 Andres M. Pereira M.d.p.c. Family Medicine 47 Sickles St Suite 1a, New York, NY 10040 2016-10-19
1003281692 Sandra Feliz Specialist 34 Bogardus Place Apt 2a, New York, NY 10040 2015-12-08
1790179562 G Home Companion Services, Inc. In Home Supportive Care 25 Nagle Ave Apt # 5a, New York, NY 10040 2015-03-19
1669810503 Sandra I. Morban Licensed Practical Nurse 45 Thayer St. #5g, New York, NY 10040 2013-06-13
1679814248 Zheng Zhou Psychologist 340 Cabrini Blvd, Apt 203, New York, NY 10040 2013-03-07
1710253323 Miriam P Bacon Physical Therapist 12-18 Ellwood Street, New York, NY 10040 2012-03-28
1730455593 Alyssa Marie Corr Occupational Therapist 1218 Ellwood Street, Ny, NY 10040 2012-03-27
1801160254 Claire Gordon Speech-Language Pathologist 802 West 190 St., #2-g, New York, NY 10040 2012-03-02
1548542483 Samuel Emerson Carlisle Social Worker 4530 Broadway 4e, New York, NY 10040 2011-09-16
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558065 Elizabeth Fagan Social Worker 108 E 91st St Apt 4c, New York, NY 10128-1659 2020-11-02
1255932885 Kim Marie Yancey Social Worker 145 E 126th St Apt 3f, New York, NY 10035-1727 2020-11-02
1316546807 Nicole D'angelo Social Worker 511 E 81st St Apt 11, New York, NY 10028-2512 2020-10-26
1730788993 Nancy Bacher Social Worker 1770 Madison Ave, New York, NY 10035-4787 2020-10-20
1346849676 Marlene St. Vil Darbouze Social Worker 156 W 119th St Apt 1, New York, NY 10026-1354 2020-10-19
1720686702 Elizabeth Orent Social Worker 310 E 23rd St Apt 6c, New York, NY 10010-4703 2020-10-13
1548868607 Prescott Psychotherapy Wellness Lcsw Pllc Social Worker 285 Lexington Ave Fl 2a, New York, NY 10016-3592 2020-10-12
1003413410 Caprice Royal, Lcsw P.l.l.c Social Worker 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 2020-10-08
1669079364 Nina Michelle Libson Social Worker 405 E 14th St Apt 6e, New York, NY 10009-2703 2020-10-06
1588279954 Robert Mladinich Social Worker 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 2020-09-13
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Competitor

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City NEW YORK
Zip Code 10040

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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