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HOLLY ANN SULLIVAN MSW, LCSW
NPI 1346422011
Social Worker - Clinical in Phoenix, AZ

Active since December 04, 2007Opted out of Medicare · through Oct 1, 2027
34406 N 27TH DR, PHOENIX, AZ 85085(602) 492-1886 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017, Jul 24, 2017 (3 updates tracked since 2017).

About Holly Ann Sullivan Msw, Lcsw NPPES

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

HOLLY ANN SULLIVAN MSW, LCSW (NPI 1346422011) is an individual clinical provider in Phoenix, Arizona and active in the NPI registry since December 2007. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1346422011
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY ANN SULLIVANCredential: MSW, LCSW
Location Address34406 N 27TH DRPhoenix, AZ 85085-6082
Mailing Address34406 N. 27th DrivePhoenix, AZ 85085 · (602) 492-1886
Phone(602) 492-1886
Sole ProprietorYes
Enumeration DateDecember 4, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1346422011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
34406 N 27TH DR, Phoenix, AZ 85085
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Ann Sullivan Msw, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

NATURAL CHOICE MEDICAL CARE LLC
Naturopath
34406 N 27TH DR, SUITE 108
PHOENIX, AZ 85085
Maricopa County (623) 266-1700
DR. MARSHA ELAINE FERRICK PH.D, BCC
Psychologist (Clinical)
34406 N 27TH DR, STE 140
PHOENIX, AZ 85085
Maricopa County (216) 780-5068
MRS. KATHERINE N. HAMMANS LCSW
Counselor (Mental Health)
34406 N 27TH DR, SUITE 140
PHOENIX, AZ 85085
Maricopa County (602) 618-9191
DR JUSTIN ROSS PLC
Chiropractor
34406 N 27TH DR, SUITE 116
PHOENIX, AZ 85085
Maricopa County (623) 223-1350
KARA JASPER MS, LPC, NCC
Counselor (Mental Health)
34406 N 27TH DR, SUITE 140 BUILDING 6, OFFICE 105
PHOENIX, AZ 85085
Maricopa County (602) 734-0192
CARMEN RAE LOPEZ
Behavior Analyst
34406 N 27TH DR
PHOENIX, AZ 85085
Maricopa County (480) 525-3041
TRAMONTO CHIROPRACTIC, LLC
Chiropractor
34406 N 27TH DR, BLDG 2 STE 110
PHOENIX, AZ 85085
Maricopa County (623) 242-8385
MRS. MISTY M. REYNOSO LMT
Reflexologist
34406 N 27TH DR, SUITE 108
PHOENIX, AZ 85085
Maricopa County (623) 266-1700

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 Holly Sullivan's NPI number?

The NPI number for Holly Sullivan is 1346422011. It was assigned to this individual provider in the NPPES registry on December 4, 2007.

Where is Holly Sullivan located?

Holly Sullivan practices at 34406 N 27th Dr, Phoenix, AZ 85085. The listed phone number is (602) 492-1886.

What is Holly Sullivan's specialty?

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

Is Holly Sullivan enrolled in Medicare?

No. Holly Sullivan has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Holly 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.