PATRICE MARIE SULLIVAN


Address: 4100 W 3rd St Ste 241, Dayton, OH 45428-9000
Phone: 9372686511

PATRICE MARIE SULLIVAN (NPI# 1609426840) 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) 1609426840
Entity Type Individual
Full Name PATRICE MARIE SULLIVAN
Practice Address 4100 W 3rd St Ste 241
Dayton
OH 45428-9000
Practice Telephone 9372686511
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker S.1904085 OH Behavioral Health & Social Service Providers

Office Location

Street Address 4100 W 3RD ST STE 241
City DAYTON
State OH
Zip Code 45428-9000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407414527 Punyawat Laohakanjanasiri Dentist Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 2019-06-04
1942716303 John Korea Lee Pharmacist 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 2017-12-21
1366876138 Amber J Enterline Pharmacist 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 2013-08-28
1114155793 Jeffrey Michael Munn Dentist 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 2009-06-23
1558516724 Tawnyell Nikko Culpepper Social Worker 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 2008-12-01
1255586376 Prasad V Venkat Physical Therapist 4100 W.third Street, Dayton, OH 45428 2008-11-18
1457435687 Reba E Crowell Nurse Practitioner 4100 West 3rd Street, Dayton, OH 45428 2006-10-24
1386728632 Alicia Joann Weekes-johnson Counselor 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 2006-10-24
1497843049 Margaret Irene Kruckemeyer Nurse Practitioner 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 2006-10-10
1003902545 Mohamed Elmouelhi Internal Medicine 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 2006-10-04
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239121 Sara Ann Hillix Social Worker 8910 Treeland Ln, Dayton, OH 45458-2703 2020-09-15
1568081115 Lacey Danae Martin Social Worker 124 W Apple St, Dayton, OH 45402-2617 2020-04-14
1275005340 Ria D. Megnin Social Worker 2104 King Ave, Dayton, OH 45420-2453 2018-12-29
1487130035 Monica Summers Social Worker 6444 Woodsedge Ct, Dayton, OH 45449-3417 2018-07-17
1710471461 Renee Katherine Blossom Social Worker 2694 Latonia Ave, Dayton, OH 45439-2923 2018-06-17
1720571748 Freshana S Withrow-harris Social Worker 8038 Bellcreek Ln, Dayton, OH 45426-4732 2018-06-13
1689165466 Andrea Lee Sierra Social Worker 7130 Robert Ulrich Ave, Dayton, OH 45415-1411 2018-05-28
1265922942 Kara Kathleen Pickrell Social Worker 1129 Miamisburg Centerville Rd Ste 201, Dayton, OH 45449-4052 2018-05-17
1851803332 Dola Mae Landis Social Worker 8145 N Main St, Dayton, OH 45415-1703 2017-10-24
1588174718 Melanie Jo Grote Social Worker 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 2017-10-02
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45428

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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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