RICHARD M SULLIVAN


Address: 5420 Shimerville Rd, Clarence, NY 14031-1118
Phone: 7167412138

RICHARD M SULLIVAN (NPI# 1588694434) 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) 1588694434
Entity Type Individual
Full Name RICHARD M SULLIVAN
Credential LCSW-R
Practice Address 5420 Shimerville Rd
Clarence
NY 14031-1118
Practice Telephone 7167412138
Mailing Telephone 7167412138
Enumeration Date 2006-07-04
Last Update Date 2007-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
013806 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY UNIVERA 00052410001 01
NY BLUE CROSS & BLUE SHIELD 000528842001 01
NY INDEPENDENT HEALTH 6290360 01
NY GHI 7484558 01

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Office Location

Street Address 5420 SHIMERVILLE RD
City CLARENCE
State NY
Zip Code 14031-1118

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1821516451 Kevin Matthew Scibetta Physical Therapist 9095 Main St Suite B, Clarence, NY 14031 2017-09-04
1649604091 Doreen Marie Zak-watt Social Worker 10150 Greiner Rd., Clarence Middle School, Clarence, NY 14031 2013-08-21
1558676163 Valerie Anne Heer Massage Therapist 5865 Strickler Rd., Clarence, NY 14031 2010-08-09
1881907665 Kristi P. Smith Social Worker 8265 Sheridan Dr., Williamsville, NY 14031 2010-07-21
1649424979 Kristen M Alexander Dentist 9650 Main Street, Kristen M. Alexander, Clarence, NY 14031 2008-11-13
1982850400 Kaliopi Kelly Tsimidis Vukas Dentist 9600 Main Street, Suite 1, Clarence, NY 14031 2008-08-15
1871787259 Andrew L Macdonald Dentist 9650 Main St, Clarence, NY 14031 2007-08-29
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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
1477577377 Sandra J. Mineo Social Worker 5067 Thompson Rd, Clarence, NY 14031-1435 2006-07-26
1275193757 Chelsea M Crane Social Worker 9070 Main St, Clarence, NY 14031-1825 2019-06-18
1407326283 Rebecca Grace Rowley Social Worker 9070 Main St, Clarence, NY 14031-1825 2018-12-05
1770974131 Jean Mosteller Hynd Social Worker 9070 Main St, Clarence, NY 14031-1825 2015-02-06
1457629339 Heather Mackenzie Cantie Social Worker 10150 Greiner Rd, Clarence, NY 14031-1375 2011-12-07

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1831790195 Emily Phyllis Wood Social Worker 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 2020-11-03
1417558065 Elizabeth Fagan Social Worker 108 E 91st St Apt 4c, New York, NY 10128-1659 2020-11-02
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Competitor

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City CLARENCE
Zip Code 14031

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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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