MR. STEVEN L SULLIVAN (NPI# 1144452624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144452624 |
| Entity Type | Individual |
| Full Name | MR. STEVEN L SULLIVAN |
| Credential | MSW, LISW, LCSW |
| Practice Address |
4600 3rd St Moline IL 61265-6106 |
| Mailing Address |
2701 17th St Rock Island IL 61201-5351 |
| Practice Telephone | 3097792031 |
| Practice Fax Number | 3097792917 |
| Mailing Telephone | (309) 779-3200 |
| Mailing Fax Number | 3097792755 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
58190 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
06401 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497311062 | Steven Glen Sullivan | Respiratory Therapist, Certified | 803 Hope Rd, Branchville, SC 29432 | 2019-05-19 |
| 1770566879 | Steven P Sullivan | Nurse Practitioner | 2809 E Hamilton Ave, Suite 107, Eau Claire, WI 54701-6863 | 2005-11-22 |
| 1700889789 | Steven M Sullivan | Dentist | 1000 N Lincoln Blvd, Ste 200, Oklahoma City, OK 73104-3252 | 2005-05-24 |
| 1235790171 | Steven Nicholas Sullivan | Case Manager/Care Coordinator | 1639 Forum Pl Ste 7, West Palm Beach, FL 33401-2330 | 2019-06-21 |
| 1154632842 | Steven Michael Sullivan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2010-06-28 |
| 1215106067 | Steven W Sullivan | Physician Assistant | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061-5577 | 2008-02-26 |
| 1578552089 | Steven Garrett Sullivan | Anesthesiology | 14100 E Arapahoe Rd, Suite B110, Centennial, CO 80112-4028 | 2005-10-18 |
| Street Address |
4600 3RD ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870351 | Ernest Lee Galbreath | Psychiatry & Neurology | 4600 3rd St, Moline, IL 61265-6106 | 2005-06-10 |
| 1316545601 | Tamelia Abbasi | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-10-09 |
| 1346856556 | Alexa Stombaugh | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-22 |
| 1639785454 | Tracy Lynn Petersen | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-17 |
| 1609489806 | Parneet Sahota | Student in an Organized Health Care Education/Training Program | 4600 3rd St, Moline, IL 61265-6106 | 2020-08-26 |
| 1477162212 | Camille Katrina Butler | Technician | 4600 3rd St, Moline, IL 61265-6106 | 2020-07-28 |
| 1659901106 | Gloria Maria Guillen | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1699305136 | Kaila Jenaman | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1114567559 | Salena Hutchins | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-14 |
| 1619516218 | Jenifer Regennitter | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255744348 | The Project of The Quad Cities | Social Worker | 1701 River Dr Ste 110, Moline, IL 61265-1384 | 2014-06-05 |
| 1164771630 | Tammi A White | Social Worker | 4600 3rd Street, Moline, IL 61265-6892 | 2012-08-30 |
| 1093798589 | Rosemary Jordan | Social Worker | 2100 52nd Ave, Moline, IL 61265-6366 | 2005-11-29 |
| 1588657316 | Ann K O'klock | Social Worker | 1302 7th St, Suite 201, Moline, IL 61265-2900 | 2005-08-26 |
| 1891331872 | Michael Anton Terry | Social Worker | 524 15th St, Moline, IL 61265-2151 | 2019-11-25 |
| 1922651926 | Megan Alexandra Page | Social Worker | 2326 16th St, Moline, IL 61265-4824 | 2019-07-18 |
| 1417317066 | Terry Stambaugh | Social Worker | 4600 3rd St, Moline, IL 61265-6106 | 2016-02-24 |
| 1679933204 | Shannon Reschke | Social Worker | 2326 16th St, Moline, IL 61265-4824 | 2016-02-24 |
| 1679956833 | Angela Mecagni Allen | Social Worker | 4600 3rd St, Moline, IL 61265-6106 | 2015-07-07 |
| 1598188500 | Kimberly Martin | Social Worker | 106 19th Ave, Suite 101, Moline, IL 61265-3700 | 2014-01-27 |
| Find all providers in MOLINE | ||||
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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.