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KELLY SULLIVAN MSW, LCSW
NPI 1457645434
Social Worker - Clinical in Milwaukie, OR

Active since June 07, 2011PECOS Enrolled
10883 SE MAIN ST, STE. 204, MILWAUKIE, OR 97222(503) 381-2422 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Sullivan Msw, Lcsw NPPES

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

KELLY SULLIVAN MSW, LCSW (NPI 1457645434) is an individual clinical provider in Milwaukie, Oregon, licensed in Oregon (L4631) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457645434
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY SULLIVANCredential: MSW, LCSW
Location Address10883 SE MAIN ST, STE. 204Milwaukie, OR 97222-7641
Mailing AddressPo Box 220203Portland, OR 97269-0203 · (503) 381-2422
Phone(503) 381-2422
Sole ProprietorYes
Enumeration DateJune 7, 2011
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1457645434 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 OR · L4631
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.
10883 SE MAIN ST, Milwaukie, OR 97222
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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)

Kelly Sullivan Msw, Lcsw 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 97222 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 2

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

PROTECH AUTOMOTIVE INC
Non-emergency Medical Transport (VAN)
10883 SE MAIN ST, SUITE 203
MILWAUKIE, OR 97222
Clackamas County (503) 334-4638
JENNIFER M KRUMM MA, LPC
Counselor (Professional)
10883 SE MAIN ST, SUITE 206
MILWAUKIE, OR 97222
Clackamas County (503) 867-2982

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1457645434. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 10883 SE Main St Ste. 204, Milwaukie, OR 97222. The listed phone number is (503) 381-2422.

What is Kelly Sullivan's specialty?

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

Is Kelly Sullivan enrolled in Medicare?

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

What insurance does Kelly Sullivan accept?

Health plans from Moda Health Plan, Inc. list Kelly 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 Kelly Sullivan was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.