MS. PAULA JO SULLIVAN


Address: 2200 N Ponce De Leon Blvd, Ste. 4, St Augustine, FL 32084-2600
Phone: 9048066905

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW7316 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD Z089R 01

Other Providers PAULA SULLIVAN

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

Office Location

Street Address 2200 N PONCE DE LEON BLVD
STE. 4
City ST AUGUSTINE
State FL
Zip Code 32084-2600

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ST AUGUSTINE
Zip Code 32084

Improve Information

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Dataset Information

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.

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