MS. PAULA JO SULLIVAN (NPI# 1538121488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538121488 |
Entity Type | Individual |
Full Name | MS. PAULA JO SULLIVAN |
Other Name | PAULA JO KAUTZ |
Credential | LCSW |
Practice Address |
2200 N Ponce De Leon Blvd Ste. 4 St Augustine FL 32084-2600 |
Practice Telephone | 9048066905 |
Mailing Telephone | 9048066905 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2010-08-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW7316 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | Z089R | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316021611 | Paula Rene Sullivan | Counselor | 9662 Ball Rd Apt 7, Anaheim, CA 92804-5352 | 2006-10-24 |
1861793853 | Paula Delane Sullivan | Nurse Practitioner | 1160 Huffman Rd, Birmingham, AL 35215-7502 | 2010-11-08 |
1962653758 | Paula Sullivan | Registered Nurse | 35 John St, Lowell, MA 01852-1101 | 2008-10-10 |
1316147960 | Paula Louise Sullivan | Nurse Practitioner | 3800 Reservoir Rd Nw, Employee Health, Washington, DC 20007-2113 | 2007-07-23 |
1194921254 | Paula J Sullivan | Obstetrics & Gynecology | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2007-06-25 |
1811000169 | Paula A Sullivan | Psychologist | 705 Riley Hospital Dr, Ri 5837, Indianapolis, IN 46202-5109 | 2006-08-17 |
1174587612 | Paula Ann Sullivan | Speech-Language Pathologist | 2500 Overlook Ter, Asp Service (126), Madison, WI 53705-2254 | 2006-04-13 |
1063409373 | Paula A Sullivan | Physical Therapist | 1 Linebrook Rd, Ipswich, MA 01938-2901 | 2005-10-03 |
Street Address |
2200 N PONCE DE LEON BLVD STE. 4 |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32084-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588642987 | Nicolle M Bauer | Counselor | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2600 | 2006-01-05 |
1316473168 | High Power Diagnosis | Clinic/Center | 2200 N Ponce De Leon Blvd, Suite 7, St Augustine, FL 32084-2600 | 2017-05-11 |
1982140307 | Nicolle M Bauer Lmhc | Counselor | 2200 N Ponce De Leon Blvd, Ste 3, St Augustine, FL 32084-2600 | 2017-01-09 |
1780923623 | Christopher Chase Misso | Massage Therapist | 2200 N Ponce De Leon Blvd, St Augustine, FL 32084-2600 | 2013-02-13 |
1780944462 | Tanner Martinez Chiropractic LLC | Chiropractor | 2200 N Ponce De Leon Blvd, Suite 1, St Augustine, FL 32084-2600 | 2012-05-29 |
1467744060 | Lorelei Diane Walker | Massage Therapist | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2600 | 2011-05-15 |
1790012201 | Dustin James Tanner | Chiropractor | 2200 N Ponce De Leon Blvd, Suite #1, St Augustine, FL 32084-2600 | 2009-11-05 |
1154587624 | Jennifer E Jacobsen | Specialist | 2200 N Ponce De Leon Blvd, Suite 12, St Augustine, FL 32084-2600 | 2008-08-04 |
1497734867 | Amy Louise Mcdermott | Counselor | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2600 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
Find all providers in zip 32084 |
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 |
---|---|---|---|---|
1902360837 | Yuliana Zapata | Social Worker | 201 Health Park Blvd Ste 212, St Augustine, FL 32086-5797 | 2019-01-24 |
1568933844 | Carrie Beth Reese | Social Worker | 1016 W Aiken St, St Augustine, FL 32084-9515 | 2018-12-11 |
1447773270 | Lori T Reasonover | Social Worker | 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092-3045 | 2017-07-24 |
1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
1528451333 | Jennifer Leighs Wilson | Social Worker | 141 Whispering Oaks Cir, St Augustine, FL 32080-1703 | 2015-03-18 |
1689072514 | Caitlin Rose Labrador | Social Worker | 1301 Plantation Island Dr S Ste 201b, St Augustine, FL 32080-3116 | 2014-12-09 |
1629417472 | Jill A. Yoerger-churchwell | Social Worker | 1 Oak Tree Ln, St Augustine, FL 32084-1236 | 2013-06-14 |
1497006050 | Diane M Longo | Social Worker | 620 21st St, St Augustine, FL 32084-1706 | 2012-09-24 |
1659667194 | Jana S Mercado | Social Worker | 2040 Glenfield Crossing Ct, St Augustine, FL 32092-5035 | 2011-06-23 |
1568757458 | Carol Hooper, Lcsw | Social Worker | 9 East Ln, St Augustine, FL 32084-3209 | 2011-06-19 |
Find all providers in ST AUGUSTINE |
City | ST AUGUSTINE |
Zip Code | 32084 |
Please comment or provide details below to improve the information on MS. PAULA JO SULLIVAN.
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.