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Michael Robert Sullivan , MSW

Social Worker β€’ Spokane, WA

Active NPI 1003288796 Individual Practitioner Male Practitioner
Practice location in NPPES

107 S Division St
Spokane, WA 992021510

Call 5098384651 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

107 S Division St

Spokane, WA 992021510

Telephone 5098384651
Organization at the Same NPPES Address or Phone
Frontier Behavioral Health Facility NPI 1861495327

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mead, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Sullivan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Sullivan as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Spokane and Washington

184 active clinicians are listed under Social Worker with a practice address in Spokane, WA (2,142 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

2.2% of these 184 clinicians have the CMS telehealth indicator.

9.2% of these 184 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES WA LW61234841

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG60648868

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES WA SC61158375

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES WA LW61234841

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20220304001212

Enrollment State Jurisdiction

WA

PECOS Control ID

7719371913

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

14525 N Newport Hwy

Mead, WA 990219636

Phone: 5093409643

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Jared Bruder , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023654548

Advanced Registered Nurse Practitioner

Dr. Robert Mulvihill , MD

Psychiatry & Neurology - Psychiatry

NPI 1003927252

Doctor of Medicine (M.D.)

Allan Sanders , MN ARNP

Nurse Practitioner - Family

NPI 1003906199

MNARNP

Dr. Mary Sobralske , PHD APRN

Nurse Practitioner - Family

NPI 1013999184

PHDAPRN

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 03, 2018

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

πŸ“
Updated Business Mailing Address December 03, 2018

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

πŸ‘€
Provider Name / Credentials Updated December 03, 2018

Recorded as MICHAEL SULLIVAN, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Counselor (license number reported to NPPES: WA CG60648868)

βœ…
NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2016

Registered at 14525 N NEWPORT HWY, MEAD, WA 990219636 (Tel: 5093409643)

πŸ“
Business Mailing Address (Initial Record) March 23, 2016

Registered at 14525 N NEWPORT HWY, MEAD, WA 990219636 (Tel: 5093409643)

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2016

Recorded as MICHAEL SULLIVAN, C.D.P.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Counselor (license number reported to NPPES: WA CP 60390649)

🟒
Initial NPI Registration & Enumeration October 21, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003288796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2015
Last Update: April 22, 2022
Sole Proprietor: Yes

Other Social Workers in Spokane

All Social Workers in Spokane

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.