Mr. Tim D Sullivan
Clinical Social Worker
229 Ridgewood Ave Apartment 112
Minneapolis
, Minnesota 55403-3554
Mr. Tim D Sullivan
Clinical Social Worker
229 Ridgewood Ave Apartment 112
Minneapolis
, Minnesota 55403-3554
(612) 600-7169
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Tim D Sullivan
- 229 Ridgewood Ave Apartment 112
- Minneapolis, MN
- Zip : 55403-3554
- Phone : (612) 600-7169
Second Address
- Mr. Tim D Sullivan
- 229 Ridgewood Ave Apartment 112
- Minneapolis, MN
- Zip : 55403-3554
- Phone : (612) 600-7169
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | SW 003553 | MO |
National Provider Identifier
| NPI | 1003038753 |
|---|---|
| Provider Name | Mr. Tim D Sullivan |
| First Address | Minneapolis, MN 55403-3554 |
| Second Address | Minneapolis, MN 55403-3554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.