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SULLIVAN COUNSELING
NPI 1487903159
Social Worker - Clinical in Fort Wayne, IN

Active since September 10, 2012
10311 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825(260) 451-2500(260) 451-2501 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan Counseling NPPES

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

SULLIVAN COUNSELING (NPI 1487903159) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since September 2012. The organization lists Dian K Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1487903159
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSULLIVAN COUNSELING
Location Address10311 DAWSONS CREEK BLVD STE EFort Wayne, IN 46825-1913
Mailing Address10311 Dawsons Creek Blvd Ste EFort Wayne, IN 46825-1913 · (260) 451-2500 · Fax (260) 451-2501
Phone(260) 451-2500
Fax(260) 451-2501
Organization SubpartNo
Authorized OfficialDian K SullivanOwner · (260) 451-2500
Enumeration DateSeptember 10, 2012
Last NPPES UpdateMarch 13, 2015
✔ NPI 1487903159 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 IN · 34001106A
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.
10311 DAWSONS CREEK BLVD STE E, Fort Wayne, IN 46825
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Other Identifiers 1

Medicare PIN150640HHHIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sullivan Counseling's NPI number?

The NPI number for Sullivan Counseling is 1487903159. It was assigned to this organization in the NPPES registry on September 10, 2012.

Where is Sullivan Counseling located?

Sullivan Counseling is located at 10311 Dawsons Creek Blvd Ste E, Fort Wayne, IN 46825. The listed phone number is (260) 451-2500.

What is Sullivan Counseling's specialty?

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

When was this NPI record last updated?

The NPPES record for Sullivan Counseling was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.