MEDICARE: MS. JACQUELINE MARIE SULLIVAN MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C012268	NC

General Provider Information

NPI Number	:	1396201687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELINE MARIE SULLIVAN MSW, LCSW

Provider Business Mailing Address
First Line	:	295 BRICKYARD RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-2816
Country	:	US
Telephone Number	:	678-938-0093
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 ORANGE ST STE C
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2589
Country	:	US
Telephone Number	:	828-367-9155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2019
Last Update Date	:	02/05/2026

Similar Medicare Providers

1457139610 — JACKIE SULLIVAN COUNSELING, PLLC
Practice Location Address:

47 ORANGE ST STE C
ASHEVILLE, NC
28801-2589

Practice Phone: 828-367-9155
Practice Fax:

1073189296 — SUZANNE PAZANDAK
Practice Location Address:

47 ORANGE ST STE C
ASHEVILLE, NC
28801-2589

Practice Phone: 828-808-5145
Practice Fax:

1013668532 — RACHEL LEEANN KEEFE LCSW, MSW
Practice Location Address:

47 ORANGE ST STE C
ASHEVILLE, NC
28801-2589

Practice Phone: 828-515-4724
Practice Fax: 828-800-9626

1346211836 — ROBERT STANLEY POZNER M.D.
Practice Location Address:

445 BILTMORE AVE , SUITE 305
ASHEVILLE, NC
28801-4565

Practice Phone: 828-253-1482
Practice Fax: 828-258-2589

1326008004 — DR. JOEL BENJAMIN ROSENBERG MD
Practice Location Address:

445 BILTMORE AVE , SUITE 305
ASHEVILLE, NC
28801-4565

Practice Phone: 828-253-1482
Practice Fax: 828-258-2589

1982213278 — TINA ANN MANNING MA, LCMHC, NCC
Practice Location Address:

34 ORANGE ST
ASHEVILLE, NC
28801-2341

Practice Phone: 828-532-6717
Practice Fax: 828-372-4684

Directions to “ MS. JACQUELINE MARIE SULLIVAN MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.