NPI 1003038753

Tim D Sullivan, MSWLCSW

Practitioner Clinical Social Worker Minneapolis, MN

Practice location

Address: 229 Ridgewood Ave Apartment 112, Minneapolis, MN 55403-3554
Phone: (612) 600-7169

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW 003553 (MO)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1003038753
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.