SearchCaliforniaClinical Social Worker

Bradi Sullivan, MSW, LICSW, LCSW

NPI 1174195036 · on the registry since 2021

Practice

Address
10775 Pioneer Trl Ste 215
Truckee, CA 96161
Phone
(415) 424-4266
Fax
(415) 520-6633
Organisation at this address
Gregory Faldowski O D
Telehealth Services Usa
Telehealth Services Usa
Crows Nest Ranch Outpatient Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Additional practice sites

  • 100 N Fruitland St Ste A, Kennewick, WA
  • 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA
  • 699 Walnut St Ste 400, Des Moines, IA

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Mental Health Counselor
Clinical Social Worker
Clinical Social Worker
Licence states on file
WA, VA, IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-15
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California