1. Home
  2. Directory
  3. California
  4. Truckee
  5. Social Worker
  6. NPI Profile

BRADI PATRICE SULLIVAN MSW, LICSW, LCSW
NPI 1174195036
Social Worker - Clinical in Truckee, CA

Active since July 12, 2021
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Aug 7, 2023, Jul 12, 2021 (3 updates tracked since 2021).

About Bradi Patrice Sullivan Msw, Licsw, Lcsw NPPES

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

BRADI PATRICE SULLIVAN MSW, LICSW, LCSW (NPI 1174195036) is an individual clinical provider in Truckee, California, licensed in Washington (LW61330062) and active in the NPI registry since July 2021. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174195036
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRADI PATRICE SULLIVANCredential: MSW, LICSW, LCSW
Location Address10775 PIONEER TRL STE 215Truckee, CA 96161-0234
Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633
Phone(415) 424-4266
Fax(415) 520-6633
Sole ProprietorNo
Enumeration DateJuly 12, 2021
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1174195036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61330062✔ Licensed in VA · 0904016390✔ Licensed in IA · 127400
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10775 PIONEER TRL STE 215, Truckee, CA 96161
Open in Google Maps ↗

Other Names 1

Other Name (5)Bradi Patrice Morris Msw, Licsw

Secondary Practice Locations 3

Location 1100 N Fruitland St Ste AKennewick, WA 99336-3814 · Phone (509) 581-0303
Location 28280 Willow Oaks Corporate Dr Ste 600Fairfax, VA 22031-4516 · Phone (415) 424-4266 · Fax (415) 520-6633
Location 3699 Walnut St Ste 400Des Moines, IA 50309-3962 · Phone (415) 424-4266 · Fax (415) 520-6633

Other Identifiers 3

Medicaid2182977WA
Medicaid0140722IA
Medicaid30017765220001VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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.

LISA ANNE TAFT MSW, LMHC, LPC
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
TAMMY LYNN HARPER MS, MAC, LMHC, SUDP
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
KUAN HSUAN TU MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
AYSIA JACKSON
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
MS. GISELLE MARIE SALAS MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
DR. LINDARA L HALLORAN MD
Pediatrics
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ELISHA ANTUANE DENTON MA, APCC
Counselor (Professional)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
SARA SAMADI MA, LMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266

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 Bradi Sullivan's NPI number?

The NPI number for Bradi Sullivan is 1174195036. It was assigned to this individual provider in the NPPES registry on July 12, 2021. The provider is also known as Bradi Patrice Morris Msw, Licsw.

Where is Bradi Sullivan located?

Bradi Sullivan practices at 10775 Pioneer Trl Ste 215, Truckee, CA 96161. The listed phone number is (415) 424-4266.

What is Bradi Sullivan's specialty?

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

What insurance does Bradi Sullivan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bradi Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradi Sullivan was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.