SHANNON SULLIVAN LMSW
NPI 1134596687
Social Worker - Clinical in Grand Rapids, MI

Active since August 31, 2015
100 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 965-8200 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Sullivan Lmsw NPPES

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

SHANNON SULLIVAN LMSW (NPI 1134596687) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (925807) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1134596687
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON SULLIVANCredential: LMSW
Location Address100 CHERRY ST SEGrand Rapids, MI 49503-4526
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200
Sole ProprietorNo
Enumeration DateAugust 31, 2015
Last NPPES UpdateFebruary 19, 2020
NPI 1134596687 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 MI · 925807
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.
100 CHERRY ST SE, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Shannon Mccullough

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.

Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Community Health Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Optometrist
100 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1134596687. It was assigned to this individual provider in the NPPES registry on August 31, 2015. The provider is also known as Shannon Mccullough.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8200.

What is Shannon 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 Shannon Sullivan was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.