CASEY MARGARET SULLIVAN LMSW
NPI 1235754128
Social Worker - Clinical in Boise, ID

Q: What is Casey Sullivan's NPI number?

The NPI number for Casey Sullivan is 1235754128. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Q: What is Casey Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Casey Sullivan was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 16, 2020PECOS Enrolled

6533 W EMERALD ST, BOISE, ID 83704(208) 367-2126(208) 367-7410 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Casey Margaret Sullivan Lmsw NPPES

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

CASEY MARGARET SULLIVAN LMSW (NPI 1235754128) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-44226) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235754128

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCASEY MARGARET SULLIVANCredential: LMSW

Location Address6533 W EMERALD STBoise, ID 83704-8737

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-2126 · Fax (208) 367-7410

Phone(208) 367-2126

Fax(208) 367-7410

Sole ProprietorNo

Enumeration DateJune 16, 2020

Last NPPES UpdateJanuary 10, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1235754128 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

License✔ Licensed in ID · LCSW-44226

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 ListedSocial WorkerTaxonomy 104100000X · License LMSW-39715 (ID)

6533 W EMERALD ST, Boise, ID 83704

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Secondary Practice Locations 2

Location 17941 W Rifleman StBoise, ID 83704-9001 · Phone (208) 895-7950 · Fax (855) 212-5682

Location 2847 Parkcentre Way Ste 7Nampa, ID 83651-1794 · Phone (208) 229-6050 · Fax (855) 212-5682

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Margaret Sullivan Lmsw 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 83704 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 $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 16

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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)