MS. PATRICIA PAULINE SULLIVAN (NPI# 1639233786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639233786 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA PAULINE SULLIVAN |
| Credential | LMSW LMFT DCSW |
| Practice Address |
1864 E Us 23 Suite B East Tawas MI 48730-9349 |
| Practice Telephone | 9893056280 |
| Mailing Telephone | 9893056280 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801035911 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 4101005476 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1306252010 | Patricia Sullivan | Registered Nurse | 2999 Avenue R, Brooklyn, NY 11229-2641 | 2014-07-02 |
| 1558786640 | Patricia Sullivan | Clinical Nurse Specialist | 16 Canton Ct, Brooklyn, NY 11229-6023 | 2014-02-26 |
| 1659658631 | Patricia Sullivan | Licensed Practical Nurse | 3 Wooded Way, Calverton, NY 11933-9700 | 2011-11-04 |
| 1467783613 | Patricia A Sullivan | Registered Nurse | 2569 Morningstar Rd, Manasquan, NJ 08736-2221 | 2010-01-27 |
| 1770780843 | Patricia Anne Sullivan | Dentist | 3720 Nw 43rd St, Suite 102, Gainesville, FL 32606-6190 | 2007-07-02 |
| 1467657072 | Patricia Mary Sullivan | Dietitian, Registered | 6083 Hamilton Boulevard, Wescosville, PA 18106 | 2007-06-15 |
| 1699978825 | Patricia Sullivan | Counselor | 1122 Riverside Ave, Somerset, MA 02726-2840 | 2007-06-06 |
| 1427269562 | Patricia Ann Sullivan | Nurse Practitioner | 24 Gardner Ave, Middletown High School, Middletown, NY 10940-3240 | 2007-05-24 |
| 1598822538 | Patricia A Sullivan | Speech-Language Pathologist | 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 | 2007-01-02 |
| Street Address |
1864 E US 23 SUITE B |
| City | EAST TAWAS |
| State | MI |
| Zip Code | 48730-9349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720384472 | Cobbler's Corner Foot Center | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-28 |
| 1417252800 | Ryan R Howser | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790775 | Sarah Jan Feinauer | Behavior Technician | 421 Evans St, East Tawas, MI 48730 | 2018-11-27 |
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1205227188 | Michelle St. Aubin | Speech-Language Pathologist | 1691 E Us 23 Ste 4, East Tawas, MI 48730 | 2015-02-12 |
| 1871751354 | John Rodney Lixey | Chiropractor | 310 W Bay St, East Tawas, MI 48730 | 2008-05-30 |
| 1447387709 | Dianne B Webb | Psychologist | 1200 Tawas Beach Rd, East Tawas, MI 48730 | 2007-02-27 |
| 1215029350 | Daniel C Smith | Optometrist | 1691 N Us 23, Suite 2, E Tawas, MI 48730 | 2006-09-28 |
| 1023022936 | Jcs Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1704 East Huron Road, East Tawas, MI 48730 | 2006-07-28 |
| 1477520377 | S. Fountain's Inc | Pharmacy | 133 Newman St, East Tawas, MI 48730 | 2006-03-01 |
| 1124019674 | Richard Paul Payea | Family Medicine | 1195 Tawas Beach Rd, East Tawas, MI 48730 | 2005-11-03 |
| 1477543346 | Duane D Harrison | Allergy & Immunology | 1691 E. Us 23, Suite 5, East Tawas, MI 48730 | 2005-10-24 |
| Find all providers in zip 48730 | ||||
| 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 |
|---|---|---|---|---|
| 1114570322 | Danielle Whalen | Social Worker | 129 Newman St, East Tawas, MI 48730-1209 | 2019-07-17 |
| 1447816806 | Angela Giori | Social Worker | 129 Newman St, East Tawas, MI 48730-1209 | 2019-05-11 |
| 1770657389 | Gloria Jean Rouleau-gerber | Social Worker | 201 E State St, East Tawas, MI 48730-1333 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST TAWAS |
| Zip Code | 48730 |
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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.