KELLY SULLIVAN MSW, LCSW
NPI 1457645434
Social Worker - Clinical in Milwaukie, OR
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 has opted out of Medicare through August 15, 2026.
NPPES Registry Identity
Specialties & Licenses
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly 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 August 15, 2024 through August 15, 2026.
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.
MILWAUKIE, OR 97222
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457645434, enumerated as an "individual" on June 07, 2011.
The provider is located at 10883 SE MAIN ST STE. 204 MILWAUKIE, OR 97222 and the phone number is (503) 381-2422.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
