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MAREN SULLIVAN LCSW
NPI 1598948739
Social Worker - Clinical in Los Angeles, CA

Active since December 11, 2007PECOS Enrolled
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(310) 966-6500 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maren Sullivan Lcsw NPPES

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

MAREN SULLIVAN LCSW (NPI 1598948739) is an individual clinical provider in Los Angeles, California, licensed in California (25277) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598948739
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAREN SULLIVANCredential: LCSW
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (310) 966-6500
Phone(310) 966-6500
Sole ProprietorNo
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 14, 2011
✔ NPI 1598948739 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 CA · 25277
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.
11080 W OLYMPIC BLVD, Los Angeles, CA 90064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maren Sullivan 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.

Medicare Billing Reassignment

Medicare enrollment records show Maren Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellmind Online Ca Licensed Clinical Social Worker Prof Corp
313 mi
Psychiatry
2100 GENG RD STE 210
Palo Alto, CA 94303
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Wellmindonline Ca Licensed Clinical Social Worker Prof Corp
  • 54 clinicians in this Medicare group
NPI 1447871272 (833) 646-3243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

YVETTE NICOLE VENEGAS
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 523-9193
DIANA ZAPATA-VALDEZ
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
KECIA MCDANIEL OTR
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DOLORES J GONZALEZ
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 388-1038
SOPHIA DANIELS
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MARIA FERNANDA BLANCO MENDOZA
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MR. EDWARD BURGOS NINO NP
Nurse Practitioner (Psychiatric/Mental Health)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 913-4310
DR. KENNETH S. CHUANG M.D.
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6513

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 Maren Sullivan's NPI number?

The NPI number for Maren Sullivan is 1598948739. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Maren Sullivan located?

Maren Sullivan practices at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (310) 966-6500.

What is Maren Sullivan's specialty?

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

Is Maren Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Maren Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maren Sullivan reassigns Medicare benefits to Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maren Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maren Sullivan was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.