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MICHAEL ROBERT SULLIVAN MSW
NPI 1003288796
Social Worker in Spokane, WA

Active since October 21, 2015PECOS Enrolled
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2022, Jan 11, 2022, Dec 3, 2018 and 2 more (5 updates tracked since 2016).

About Michael Robert Sullivan Msw NPPES

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

MICHAEL ROBERT SULLIVAN MSW (NPI 1003288796) is an individual social worker in Spokane, Washington, licensed in Washington (LW61234841) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mead.

NPPES Registry Identity

NPI1003288796
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMICHAEL ROBERT SULLIVANCredential: MSW
Location Address107 S DIVISION STSpokane, WA 99202-1510
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Phone(509) 838-4651
Sole ProprietorYes
Enumeration DateOctober 21, 2015
Last NPPES UpdateApril 22, 20225 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1003288796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in WA · LW61234841✔ Licensed in WA · SC61158375
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.
Also ListedCounselorTaxonomy 101Y00000X · License CG60648868 (WA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW61234841 (WA)
107 S DIVISION ST, Spokane, WA 99202
Open in Google Maps ↗

Secondary Practice Location 1

Location 114525 N Newport HwyMead, WA 99021-9636 · Phone (509) 340-9643 · Fax (509) 368-9764

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Robert Sullivan Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frontier Behavioral Health
Same address
Community/Behavioral Health
107 S DIVISION ST
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 136 clinicians in this Medicare group
NPI 1861495327 (509) 838-4651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JAMIE ANN WAGLEY BSN, RN
Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. EMMA ELIZABETH MANNHALT
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. JACQUELINE CLARISSA HOWARD
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
CLAUDIA ELIZABETH MIMNA
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MR. JASON HALL MACKEY
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MELISSA RENEE WATSON
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
ALLAN D SANDERS MN ARNP
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
DEREK BRANDON ORMISTON
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1003288796. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Michael Sullivan located?

Michael Sullivan practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Michael Sullivan enrolled in Medicare?

Yes. Michael Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sullivan reassigns Medicare benefits to Frontier Behavioral Health (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sullivan accept?

Health plans from Providence Health Plan list Michael Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.