Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT ALLEN SULLIVAN LICSW
NPI 1548224355
Social Worker - Clinical in Coon Rapids, MN

Active since April 17, 2006
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433(763) 427-7964(763) 427-7976 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Allen Sullivan Licsw NPPES

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

ROBERT ALLEN SULLIVAN LICSW (NPI 1548224355) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (8) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1548224355
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT ALLEN SULLIVANCredential: LICSW
Location Address1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTERCoon Rapids, MN 55433
Mailing Address1930 Coon Rapids Blvd, Family Life Mental Health CenterCoon Rapids, MN 55433 · (763) 746-9583 · Fax (763) 746-9597
Fax(763) 427-7976
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1548224355 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 MN · 8
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.
1930 COON RAPIDS BLVD, Coon Rapids, MN 55433

Other Identifiers 5

OtherHP17514Health Partners
Other6200879Ubh
Other106772Ucare
Other32A98SUMN · Bcbs
Other1023456MN · Preferred One

Other Providers at the Same Location NPPES 4

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

Psychologist
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Psychiatry & Neurology (Psychiatry)
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Psychiatry & Neurology (Psychiatry)
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Psychologist
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433

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 Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1548224355. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Robert Sullivan located?

Robert Sullivan practices at 1930 Coon Rapids Blvd Family Life Mental Health Center, Coon Rapids, MN 55433. The listed phone number is (763) 427-7964.

What is Robert Sullivan'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 Robert Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.