MR. RYAN EDWARD SULLIVAN (NPI# 1679099170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679099170 |
| Entity Type | Individual |
| Full Name | MR. RYAN EDWARD SULLIVAN |
| Credential | LCSW |
| Practice Address |
285 Main Street Cshhc-west Haven Health Center Counseling Services West Haven CT 06516-7307 |
| Mailing Address |
Po Box 7720 Credentialing Specialist New Haven CT 06519-0720 |
| Practice Telephone | 2035033409 |
| Practice Fax Number | 2035033414 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035033183 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10731 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871022418 | Ryan Daniel Sullivan | Counselor | 480 Vision Way, Bayfield, CO 81122 | 2017-06-07 |
| 1396149944 | Ryan Esley Sullivan | Mechanotherapist | 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 | 2014-10-10 |
| 1063701241 | Ryan Ridgway Sullivan | Orthopaedic Surgery | 120 Spalding Dr Ste 307, Naperville, IL 60540 | 2011-03-28 |
| 1174605653 | Ryan A Sullivan | Internal Medicine | 2198 Us Highway 31 S, Manistee, MI 49660-9618 | 2006-10-20 |
| 1366078495 | Ryan John Sullivan | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-20 |
| 1104387869 | Ryan Michael Sullivan | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2019-03-26 |
| 1548738982 | Ryan Christopher Sullivan | Social Worker | 7309 Lazy Creek Dr, Austin, TX 78724-3211 | 2018-11-04 |
| 1447743232 | Ryan Sean Sullivan | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2018-06-07 |
| 1760972285 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1124554571 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
| Street Address |
285 MAIN STREET CSHHC-WEST HAVEN HEALTH CENTER COUNSELING SERVICES |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633767 | Katherine Mala | Social Worker | 285 Main Street, West Haven Health Center Counseling Services, West Haven, CT 06516-7307 | 2014-09-29 |
| 1679847842 | Esther Serkin-morgan | Social Worker | 285 Main Street, Whccs, West Haven, CT 06515-7307 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| 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 |
|---|---|---|---|---|
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1659868685 | Yarrow Therapy and Counseling Services | Social Worker | 2835 W 2050 S, West Haven, UT 84401-2121 | 2018-04-16 |
| 1730626045 | Monique Simone | Social Worker | 8 Island Ln, West Haven, CT 06516-6200 | 2017-01-24 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| 1083015044 | Shelby Bonini | Social Worker | 330 Savin Ave Apt 75, West Haven, CT 06516-5859 | 2014-09-09 |
| 1184031700 | Lauri Dougherty | Social Worker | 140 Captain Thomas Blvd, Suite 205, West Haven, CT 06516-5951 | 2014-07-15 |
| 1184052631 | Lara Landino | Social Worker | 61 Donald St, West Haven, CT 06516-2506 | 2013-10-21 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1356786719 | Preston Maynard | Social Worker | 114-152 Boston Post Road, West Haven, CT 06516 | 2013-04-30 |
| 1598015208 | Mercury Medical | Social Worker | 171 Grove Pl, West Haven, CT 06516-6438 | 2012-09-11 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MR. RYAN EDWARD 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.