JEAN CHISHOLM SULLIVAN (NPI# 1043362437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043362437 |
| Entity Type | Individual |
| Full Name | JEAN CHISHOLM SULLIVAN |
| Credential | LMSW |
| Practice Address |
153 Rider Avenue Patchogue NY 11772 |
| Practice Telephone | 6312897205 |
| Mailing Telephone | 6312897205 |
| Mailing Fax Number | 6312897205 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 049063 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928227 | Jean Sullivan | Psychologist | 210 S Juniper St, Ste 205, Escondido, CA 92025-4229 | 2006-01-30 |
| 1710928031 | Jean Kiszka Sullivan | Nurse Anesthetist, Certified Registered | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7934 | 2006-06-09 |
| 1578521159 | Jean Sullivan | Nurse Practitioner | 400 Highland Ave, Suite 1, Salem, MA 01970 | 2006-05-03 |
| Street Address |
153 RIDER AVENUE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447890900 | Hope Marie Moore | Social Worker | 49 Baker St Apt 1, Patchogue, NY 11772-3852 | 2020-01-13 |
| 1588917785 | Joshua Hendrickson | Social Worker | 121 Bailey Ave, Patchogue, NY 11772-3903 | 2012-10-25 |
| 1871876938 | Danielle Beth Chebat | Social Worker | 159 E Woodside Ave, Patchogue, NY 11772-1423 | 2011-09-26 |
| 1306977343 | Linda Jean Monahan | Social Worker | 110 N Ocean Ave, Suite Ll1, Patchogue, NY 11772-2015 | 2007-03-09 |
| 1699711879 | Diana Ruth Barnett | Social Worker | 1 South Ocean Ave, Suite 210, Patchogue, NY 11772 | 2006-06-22 |
| 1093322901 | Jennifer Neithercut | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2020-09-24 |
| 1396379301 | Alyson Rose Paruolo | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2020-02-28 |
| 1689210098 | Rebecca Lynn Mueller | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-11-20 |
| 1033751110 | Zachary Carlton Johnson | Social Worker | 475 E Main St, Patchogue, NY 11772-3121 | 2019-10-10 |
| 1588211692 | Crystal Jackson | Social Worker | 456 Waverly Ave, Patchogue, NY 11772-1586 | 2019-08-22 |
| Find all providers in PATCHOGUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.