| Victoria Ann Sullivan Lcsw Pllc | |
|
677 State Route 17m Monroe NY 10950-3318 | |
| (845) 618-5242 | |
| Not Available |
| Full Name | Victoria Ann Sullivan Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 677 State Route 17m, Monroe, New York |
| Authorized Official Name and Position | Victoria Ann Sullivan (LCSWR) |
| Authorized Official Contact | 8456185242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Ann Sullivan Lcsw Pllc 31 Carol Dr Monroe NY 10950-5210 Ph: (845) 618-5242 | Victoria Ann Sullivan Lcsw Pllc 677 State Route 17m Monroe NY 10950-3318 Ph: (845) 618-5242 |
| NPI Number | 1275179764 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 5395168769 |
|---|---|
| Medicare Enrollment ID | O20200702001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275179764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Victoria Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750400677 PECOS PAC ID: 1355438623 Enrollment ID: I20071102000332 |
| Provider Name | Marian Sanborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609384429 PECOS PAC ID: 1557741386 Enrollment ID: I20220711000538 |
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