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

Q: 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.

Q: What is Michael Sullivan's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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