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MS. KERRY SULLIVAN LCSW
NPI 1205094661
Social Worker - Clinical in Chicago, IL

Active since June 01, 2008PECOS Enrolled
645 N MICHIGAN AVE STE 803, CHICAGO, IL 60611(312) 217-2248 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 28, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Kerry Sullivan Lcsw NPPES

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

MS. KERRY SULLIVAN LCSW (NPI 1205094661) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149013013) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205094661
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KERRY SULLIVANCredential: LCSW
Location Address645 N MICHIGAN AVE STE 803Chicago, IL 60611-5123
Mailing Address645 N Michigan Ave Ste 803Chicago, IL 60611-5123 · (312) 217-2248
Phone(312) 217-2248
Sole ProprietorNo
Enumeration DateJune 1, 2008
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1205094661 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 IL · 149013013
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.
645 N MICHIGAN AVE STE 803, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kerry 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFULSHIFT INC
Psychologist (Clinical)
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (312) 320-4837
NEUROPSYCHOLOGY ASSESSMENT AND WELLNESS, LLC
Clinical Neuropsychologist
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (312) 848-1718
DANIEL M KERN PHD
Psychologist (Clinical)
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (630) 415-8781
DR. BETH BOROSH PH.D.
Psychologist (Clinical)
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (312) 848-1718
DR. LEAH PASKAR PH.D.
Psychologist (Clinical)
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (773) 263-6503
CENTER FOR NEUROPSYCHOLOGICAL ASSESSMENT, PLLC
Clinical Neuropsychologist
645 N MICHIGAN AVE STE 803
CHICAGO, IL 60611
Cook County (630) 415-8781

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 Kerry Sullivan's NPI number?

The NPI number for Kerry Sullivan is 1205094661. It was assigned to this individual provider in the NPPES registry on June 1, 2008.

Where is Kerry Sullivan located?

Kerry Sullivan practices at 645 N Michigan Ave Ste 803, Chicago, IL 60611. The listed phone number is (312) 217-2248.

What is Kerry Sullivan's specialty?

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

Is Kerry Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kerry Sullivan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.