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KADEN SULLIVAN MSW, LSWAIC
NPI 1356165146
Social Worker - Clinical in Olympia, WA

Active since November 08, 2024Opted out of Medicare · through Mar 30, 2028
1220 4TH AVE E, OLYMPIA, WA 98506(360) 320-6876 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 28, 2024, Nov 8, 2024 (2 updates tracked since 2024).

About Kaden Sullivan Msw, Lswaic NPPES

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

KADEN SULLIVAN MSW, LSWAIC (NPI 1356165146) is an individual clinical provider in Olympia, Washington, licensed in Washington (SC61448604) and active in the NPI registry since November 2024. He has opted out of Medicare through March 30, 2028.

NPPES Registry Identity

NPI1356165146
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKADEN SULLIVANCredential: MSW, LSWAIC
Location Address1220 4TH AVE EOlympia, WA 98506-4212
Mailing AddressPo Box 257, Pmb 10719Olympia, WA 98507-0257
Phone(360) 320-6876
Sole ProprietorYes
Enumeration DateNovember 8, 2024
Last NPPES UpdateDecember 28, 20242 updates tracked since enumeration
NPPES CertifiedDecember 28, 2024
✔ NPI 1356165146 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 WA · SC61448604
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.
1220 4TH AVE E, Olympia, WA 98506
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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

Kaden Sullivan Msw, Lswaic 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 March 30, 2026 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2026
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

RYAN WATHNE LICSW
Social Worker (Clinical)
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (206) 941-5728
MELISSA MACKINTOSH
Speech-Language Pathologist
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (360) 584-5581
ASHLEY LYNN MAY
Counselor (Mental Health)
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (360) 688-0632
JULIA BARTA PSYD
Psychologist (Intellectual and Developmental Disabilities)
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (669) 247-1955
RYAN WATHNE PLLC
Community/Behavioral Health
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (206) 941-5728
VICKIE L PARKER OTR
Occupational Therapist
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (360) 316-4168
BRIGHTSPOT THERAPIES
Speech-Language Pathologist
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (360) 584-5581
WESTBOUND SPEECH THERAPY PLLC
Speech-Language Pathologist
1220 4TH AVE E
OLYMPIA, WA 98506
Thurston County (360) 584-5581

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 Kaden Sullivan's NPI number?

The NPI number for Kaden Sullivan is 1356165146. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Kaden Sullivan located?

Kaden Sullivan practices at 1220 4th Ave E, Olympia, WA 98506. The listed phone number is (360) 320-6876.

What is Kaden Sullivan's specialty?

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

Is Kaden Sullivan enrolled in Medicare?

No. Kaden Sullivan has opted out of Medicare through March 30, 2028. 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 Kaden Sullivan was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.