Kelley M Sullivan, LCSW

NPI #1962528778 in Longmont, Colorado

Provider Information

NPI Number: 1962528778
Entity Type: Individual
Name: Kelley M Sullivan, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 22, 2007
Last Updated: Oct 17, 2025

Practice Location

Address: 166 HIGH POINT DR
City: Longmont
State: Colorado
ZIP Code: 80504-8540
Phone: (512) 905-0072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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