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MICHELLE P SULLIVAN LCSW
NPI 1134110760
Social Worker in Nellis Air Force Base, NV

Active since November 02, 2005PECOS Enrolled
4700 NORTH LAS VEGAS BOULEVARD, MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER, NELLIS AIR FORCE BASE, NV 89191(702) 653-3455(702) 653-3398 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle P Sullivan Lcsw NPPES

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

MICHELLE P SULLIVAN LCSW (NPI 1134110760) is an individual social worker in Nellis Air Force Base, Nevada, licensed in Pennsylvania (CW014390) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134110760
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMICHELLE P SULLIVANCredential: LCSW
Location Address4700 NORTH LAS VEGAS BOULEVARD, MIKE O'CALLAGHAN FEDERAL MEDICAL CENTERNellis Air Force Base, NV 89191-6601
Mailing Address4700 Las Vegas Blvd N, Mike O'callaghan Federal Medical CenterNellis Afb, NV 89191-6600 · (702) 653-3455 · Fax (702) 653-3398
Phone(702) 653-3455
Fax(702) 653-3398
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 10, 2014
✔ NPI 1134110760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in PA · CW014390
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.
4700 NORTH LAS VEGAS BOULEVARD, Nellis Air Force Base, NV 89191
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Other Identifiers 2

Medicare ID-Type Unspecified028024PA
OtherSU 763420PA · Highmark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle P Sullivan Lcsw 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.

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 Michelle Sullivan's NPI number?

The NPI number for Michelle Sullivan is 1134110760. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Michelle Sullivan located?

Michelle Sullivan practices at 4700 North Las Vegas Boulevard Mike O'callaghan Federal Medical Center, Nellis Air Force Base, NV 89191. The listed phone number is (702) 653-3455.

What is Michelle Sullivan's specialty?

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

Is Michelle Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Sullivan was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.