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JESSICA LYNN SULLIVAN
NPI 1174024020
Social Worker - Clinical in Madisonville, KY

Active since February 26, 2018PECOS Enrolled
200 CLINIC DR, MADISONVILLE, KY 42431(270) 821-8874(270) 821-8883 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2019, Feb 26, 2018 (2 updates tracked since 2018).

About Jessica Lynn Sullivan NPPES

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

JESSICA LYNN SULLIVAN (NPI 1174024020) is an individual clinical provider in Madisonville, Kentucky, licensed in Kentucky (254179) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hopkinsville.

NPPES Registry Identity

NPI1174024020
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LYNN SULLIVAN
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing AddressPo Box 614Hopkinsville, KY 42241-0614 · (270) 886-2205 · Fax (270) 886-0392
Phone(270) 821-8874
Fax(270) 821-8883
Sole ProprietorNo
Enumeration DateFebruary 26, 2018
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1174024020 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 KY · 254179
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.
200 CLINIC DR, Madisonville, KY 42431
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Other Names 1

Former Name (1)Jessica Williams

Secondary Practice Location 1

Location 13999 Fort Campbell BlvdHopkinsville, KY 42240-4929 · Phone (270) 886-2205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Sullivan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1174024020. It was assigned to this individual provider in the NPPES registry on February 26, 2018. The provider is also known as Jessica Williams.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 821-8874.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on August 27, 2019. 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.