Jessica C. Sullivan Lcsw, PLLC
NPI 1811532385 · Clinical Social Worker · Monroe, NY
Jessica C. Sullivan Lcsw, PLLC is a Clinical Social Worker organization in Monroe, NY (NPI 1811532385).
Provider details
- NPI number
- 1811532385
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Sullivan, Owner(845) 547-0479
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Nourish Your Mind Counseling & Psychotherapy
Additional practice locations (3)
- 1997 Route 17m Ste 2Goshen, NY 10924-5230Phone: (845) 547-0479Fax: (845) 999-4610
- 236 Crystal Run Rd Ste 5Middletown, NY 10941-4060Phone: (845) 547-0479Fax: (845) 999-4610
- 2 Overlook Dr Apt 2Warwick, NY 10990-1810Phone: (845) 547-0479Fax: (845) 999-4610
Registry dates
- Enumerated
- 2019-11-08
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Frequently asked questions
- What is Jessica C. Sullivan Lcsw, PLLC's NPI number?
- Jessica C. Sullivan Lcsw, PLLC's National Provider Identifier (NPI) is 1811532385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jessica C. Sullivan Lcsw, PLLC?
- Jessica C. Sullivan Lcsw, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica C. Sullivan Lcsw, PLLC located?
- Jessica C. Sullivan Lcsw, PLLC's practice location on file with NPPES is 360 State Route 17m Ste 4, Monroe, NY 10950-3444.
- What is Jessica C. Sullivan Lcsw, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jessica C. Sullivan Lcsw, PLLC is (845) 547-0479.
- Who is the authorized official for Jessica C. Sullivan Lcsw, PLLC?
- The authorized official listed on Jessica C. Sullivan Lcsw, PLLC's NPPES record is Jessica Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jessica C. Sullivan Lcsw, PLLC's NPI active?
- Yes — Jessica C. Sullivan Lcsw, PLLC's NPI (1811532385) is active in the NPPES registry as of the last update on 2023-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.