MS. JACQUELINE MARIE SULLIVAN


Address: 709 5th Ave W, Hendersonville, NC 28739-4101
Phone: 8287334305

MS. JACQUELINE MARIE SULLIVAN (NPI# 1396201687) 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) 1396201687
Entity Type Individual
Full Name MS. JACQUELINE MARIE SULLIVAN
Credential LCSWA
Practice Address 709 5th Ave W
Hendersonville
NC 28739-4101
Practice Telephone 8287334305
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
P011392 NC Behavioral Health & Social Service Providers

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1245337435 Jacqueline A Sullivan Social Worker 417 Highland Avenue, Suite 1, Waterbury, CT 06708 2006-09-20
1659829786 Jacqueline S Sullivan Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2016-09-19
1124451547 Jacqueline Florentino Sullivan Chiropractor 920 W Indiantown Rd, Suite 107, Jupiter, FL 33458-6847 2013-08-21
1215277736 Jacqueline B. Sullivan Social Worker 384 Washington St, Norwell, MA 02061-2010 2013-02-20
1679847107 Jacqueline Yvonne Sullivan Advanced Practice Midwife 601 E Main St, Waynesboro, PA 17268-2332 2012-03-01
1023393253 Jacqueline Sullivan Behavioral Analyst 6 Southside Rd, Danvers, MA 01923-1409 2011-10-19
1740511104 Jacqueline Mary Sullivan Dietitian, Registered W3985 County Road Nn, Elkhorn, WI 53121-4337 2010-01-26
1104051549 Jacqueline Gloria Sullivan Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2009-05-28

Office Location

Street Address 709 5TH AVE W
City HENDERSONVILLE
State NC
Zip Code 28739-4101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952646499 Susan M Bottone Allergy & Immunology 709 5th Ave W, Hendersonville, NC 28739-4101 2012-12-11
1285039123 Upstate Lung and Critical Care Specialists, PC Internal Medicine 709 5th Ave W, Hendersonville, NC 28739-4101 2014-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891321972 Christopher D. Planer, Dds, Pllc Dentist 120 Chadwick Square Ct. Ste. B, Hendersonville, NC 28739 2020-03-20
1205360401 Lindsey Stalcup Skilled Nursing Facility 1510 Hebron Street, Hendersonville, NC 28739 2017-04-13
1710138458 Beth Ellen Fink Occupational Therapy Assistant 1870 Pisqah Rd, Hendersonvill, NC 28739 2008-09-30
1164604468 Susan B Anton Social Worker 128 Stoney Brook Road, Hendersonville, NC 28739 2007-11-29
1821280215 America's Living Centers LLC Custodial Care Facility 1308 Hebron Street, Hendersonville, NC 28739 2007-08-10
1922216548 Parris Shoe World Inc Durable Medical Equipment & Medical Supplies 141 Sugarloaf Road, Suite B, Hendersonville, NC 28739 2007-05-18
1912078569 Carl Steven Edney Dentist 689 Blythe Street Court, Hendersonville, NC 28739 2006-11-13
1417049867 Fifth Avenue Internal Medicine and Geriatrics Pa Internal Medicine 724 Fifth Avenue West, Hendersonville, NC 28739 2006-09-29
1992804124 Eckerd Corporation Durable Medical Equipment & Medical Supplies 1707 Brevard Road, Hendersonville, NC 28739 2006-09-22
1194833301 Deborah Lea Schusler Dentist 506 Park Hill Ct, Suite 3, Hendersonville, NC 28739 2006-08-28
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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
1912504473 Linda Herdt Social Worker 3110 Hickory Hill Rd, Hendersonville, NC 28792-1230 2020-10-07
1316562218 Divine Source Social Worker 141 Country Club Dr, Hendersonville, TN 37075-4041 2020-06-16
1295360493 Stefanie Dedman Social Worker 113 Hazel Path Ste 3, Hendersonville, TN 37075-3878 2020-03-08
1447893409 Anishia Davis Holman Social Worker 107 Imperial Blvd Ste 13, Hendersonville, TN 37075-3441 2019-10-22
1982184040 Gb Psychology Social Worker 110 Edney St Ste A, Hendersonville, NC 28792-5428 2018-08-17
1124506274 Jonathan Stang Social Worker 824 Dale St, Hendersonville, NC 28739-5102 2018-07-31
1962940346 Mary Ann Butterworth Social Worker 120 Chadwick Square Ct, Hendersonville, NC 28739-3201 2017-02-06
1649721911 Sara R Ross Social Worker 48 Reedy Ridge Road, Hendersonville, NC 28792 2016-10-20
1811349244 Geoffrey Brookshire Social Worker 90 Haynes Blvd, Hendersonville, NC 28792-8273 2016-07-11
1639545858 Ashley Wise Social Worker 198 Brittany Place Dr, Apt W, Hendersonville, NC 28792-7116 2015-08-12
Find all providers in HENDERSONVILLE

Competitor

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City HENDERSONVILLE
Zip Code 28739

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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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