Healthcare Provider Details

I. General information

NPI: 1225950744
Provider Name (Legal Business Name): SARAH CATHERINE SULLIVAN LICSW, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 H ST NE # 733
WASHINGTON DC
20002-3627
US

IV. Provider business mailing address

712 H ST NE # 733
WASHINGTON DC
20002-3627
US

V. Phone/Fax

Practice location:
  • Phone: 202-713-9525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31036
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004887
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: