KRISTI SPENCE SULLIVAN LCSW
NPI 1598020398
Social Worker - Clinical in Marietta, GA

Q: What is Kristi Sullivan's NPI number?

The NPI number for Kristi Sullivan is 1598020398. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Q: What is Kristi Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristi Sullivan was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 08, 2012PECOS EnrolledAccepts Medicare Assignment

2940 JOHNSON FERRY RD STE B-127, MARIETTA, GA 30062(678) 637-7166 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristi Spence Sullivan Lcsw NPPES

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

KRISTI SPENCE SULLIVAN LCSW (NPI 1598020398) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW003884) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598020398

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTI SPENCE SULLIVANCredential: LCSW

Location Address2940 JOHNSON FERRY RD STE B-127Marietta, GA 30062-8361

Mailing Address2940 Johnson Ferry Rd Ste B-127Marietta, GA 30062-8361 · (678) 637-7166

Phone(678) 637-7166

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 8, 2012

Last NPPES UpdateJuly 18, 2024

NPPES CertifiedJuly 18, 2024

✔ NPI 1598020398 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 GA · CSW003884

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.

2940 JOHNSON FERRY RD STE B-127, Marietta, GA 30062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristi Spence Sullivan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416105861

PECOS Enrollment IDI20120910000841

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

65 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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 $56.84 – $172.43

Typical copayment $0.00 (range $14.21 – $43.10)

Most-billed visit code NA

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 10

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

LAURA CAROLYN JALBERT LCSW

Social Worker (Clinical)