IndividualActive
Jessica Sullivan, LCSW-R
NPI 1396085304 · Clinical Social Worker · Monroe, NY
Jessica Sullivan, LCSW-R is a Clinical Social Worker provider in Monroe, NY (NPI 1396085304).
Provider details
- NPI number
- 1396085304
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- No
- License
- R085591 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 State Route 17m
Suite 4
Monroe, NY 10950-3443
Phone: (845) 547-0479
Fax: (845) 547-0479
Street-level locationGet directions
Mailing address
360 State Route 17m
Monroe, NY 10950-3443
Additional practice locations (2)
- 236 Crystal Run RdMiddletown, NY 10941-4060Phone: (845) 547-0479
- 2 Overlook DrWarwick, NY 10990-1810Phone: (845) 547-0479
Registry dates
- Enumerated
- 2013-02-28
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Frequently asked questions
- What is Jessica Sullivan's NPI number?
- Jessica Sullivan's National Provider Identifier (NPI) is 1396085304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Sullivan's specialty?
- Jessica Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Sullivan located?
- Jessica Sullivan's practice location on file with NPPES is 360 State Route 17m, Monroe, NY 10950-3443.
- What is Jessica Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jessica Sullivan is (845) 547-0479.
- Is Jessica Sullivan's NPI active?
- Yes — Jessica Sullivan's NPI (1396085304) is active in the NPPES registry as of the last update on 2020-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.