Sullivan, Susan Bridget

Sullivan, Susan Bridget is an individual health care provider with primary practice located at 400 Commerce Ave Suite A, Morehead City NC 28557-3421. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Susan Bridget can be contacted via phone (252) 422-1655.

Contact Information

Primary practice address
400 Commerce Ave Suite A Morehead City NC 28557-3421
Phone: (252) 422-1655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004086 North Carolina

Profile Details

NPI number 1881622306
LBN Legal business name Sullivan, Susan Bridget
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881622306 NPPES
North Carolina MEDICAID 6106063
North Carolina Other 1400A

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