KELLY ELIZABETH SULLIVAN
NPI 1003609967
Social Worker - School in Escondido, CA

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1003609967. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Q: What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 23, 2025

2869 N BROADWAY, ESCONDIDO, CA 92026(760) 739-5800 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Elizabeth Sullivan NPPES

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

KELLY ELIZABETH SULLIVAN (NPI 1003609967) is an individual school provider in Escondido, California, licensed in California (230128265) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1003609967

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameKELLY ELIZABETH SULLIVAN

Location Address2869 N BROADWAYEscondido, CA 92026-8802

Mailing Address2869 N BroadwayEscondido, CA 92026-8802 · (760) 739-5800

Phone(760) 739-5800

Sole ProprietorNo

Enumeration DateMay 23, 2025

NPPES CertifiedMay 23, 2025

✔ NPI 1003609967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in CA · 230128265

2869 N BROADWAY, Escondido, CA 92026

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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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1003609967. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 2869 N Broadway, Escondido, CA 92026. The listed phone number is (760) 739-5800.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.