MR. TIM D SULLIVAN MSW, LCSW
NPI 1003038753
Social Worker - Clinical in Minneapolis, MN

Active since May 03, 2007
229 RIDGEWOOD AVE, APARTMENT 112, MINNEAPOLIS, MN 55403(612) 600-7169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tim D Sullivan Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIM D SULLIVAN MSW, LCSW (NPI 1003038753) is an individual clinical provider in Minneapolis, Minnesota, licensed in Missouri (SW 003553) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1003038753
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIM D SULLIVANCredential: MSW, LCSW
Location Address229 RIDGEWOOD AVE, APARTMENT 112Minneapolis, MN 55403-3554
Mailing Address229 Ridgewood Ave, Apartment 112Minneapolis, MN 55403-3554 · (612) 600-7169
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003038753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · SW 003553
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.
229 RIDGEWOOD AVE, Minneapolis, MN 55403

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
229 RIDGEWOOD AVE, APT 201
MINNEAPOLIS, MN 55403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Sullivan's NPI number?

The NPI number for Tim Sullivan is 1003038753. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Tim Sullivan located?

Tim Sullivan practices at 229 Ridgewood Ave Apartment 112, Minneapolis, MN 55403. The listed phone number is (612) 600-7169.

What is Tim Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tim Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.