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MELINDA JEAN SULLIVAN LCSW LADC
NPI 1295925485
Social Worker - Clinical in West Hartford, CT

Active since July 25, 2007PECOS Enrolled
97 SOUTH ST STE 105, WEST HARTFORD, CT 06110(860) 559-6922 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melinda Jean Sullivan Lcsw Ladc NPPES

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

MELINDA JEAN SULLIVAN LCSW LADC (NPI 1295925485) is an individual clinical provider in West Hartford, Connecticut, licensed in Connecticut (006460) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295925485
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELINDA JEAN SULLIVANCredential: LCSW LADC
Location Address97 SOUTH ST STE 105West Hartford, CT 06110-1964
Mailing Address97 South St Ste 105West Hartford, CT 06110-1964 · (860) 559-6922
Phone(860) 559-6922
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 25, 2007
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1295925485 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 CT · 006460
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.
97 SOUTH ST STE 105, West Hartford, CT 06110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Jean Sullivan Lcsw Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618063710
PECOS Enrollment IDI20071022000160
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.

Medicare Billing Reassignment

Medicare enrollment records show Melinda Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peaceful Mind Behavioral Health & Wellness, LLC
11 mi
Mental Health
123 MIDDLE STREET
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 17 clinicians in this Medicare group
NPI 1255926358 (860) 281-2280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 7

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

SULLIVAN, LEMAY & ASSOCIATES BEHAVIORAL HEALTH & WELLNESS LLC
Community/Behavioral Health
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 461-0504
NAIDA RIVERA CAC
Counselor (Addiction (Substance Use Disorder))
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 461-0504
MR. CARL SHIELDS LPC
Counselor (Professional)
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 461-0504
NEW PERSPECTIVES BEHAVIORAL HEALTH & WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 938-0349
MIKAL LARSEN LCSW
Social Worker (Clinical)
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 461-0504
LEMAY & ASSOCIATES LLC
Community/Behavioral Health
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 983-7622
MR. RICHARD LAWRENCE CASEY LCSW
Social Worker (Clinical)
97 SOUTH ST STE 105
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 461-0504

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 Melinda Sullivan's NPI number?

The NPI number for Melinda Sullivan is 1295925485. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Melinda Sullivan located?

Melinda Sullivan practices at 97 South St Ste 105, West Hartford, CT 06110. The listed phone number is (860) 559-6922.

What is Melinda Sullivan's specialty?

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

Is Melinda Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Melinda Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Sullivan reassigns Medicare benefits to Peaceful Mind Behavioral Health & Wellness, LLC (Bristol, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melinda Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Melinda 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 Melinda Sullivan was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.