MICHAEL DAVID SULLIVAN
NPI 1366918617
Social Worker in Ithaca, NY

Q: What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1366918617. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Q: What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 15, 2018

403 1/2 HECTOR ST, ITHACA, NY 14850(724) 704-1719 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2019, Oct 15, 2018 (2 updates tracked since 2018).

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About Michael David Sullivan NPPES

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

MICHAEL DAVID SULLIVAN (NPI 1366918617) is an individual social worker in Ithaca, New York, licensed in New York (087166) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1366918617

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMICHAEL DAVID SULLIVAN

Location Address403 1/2 HECTOR STIthaca, NY 14850-2025

Mailing Address403 1/2 Hector StIthaca, NY 14850-2025 · (724) 704-1719

Phone(724) 704-1719

Sole ProprietorNo

Enumeration DateOctober 15, 2018

Last NPPES UpdateApril 27, 20192 updates tracked since enumeration

✔ NPI 1366918617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 087166

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

403 1/2 HECTOR ST, Ithaca, NY 14850

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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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1366918617. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Michael Sullivan located?

Michael Sullivan practices at 403 1/2 Hector St, Ithaca, NY 14850. The listed phone number is (724) 704-1719.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.