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NANCY ANNE SULLIVAN LCSW
NPI 1619112828
Social Worker - Clinical in Rego Park, NY

Active since December 03, 2008PECOS EnrolledAccepts Medicare Assignment
9729 64TH RD, REGO PARK, NY 11374(718) 896-3400(718) 459-5621 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nancy Anne Sullivan Lcsw NPPES

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

NANCY ANNE SULLIVAN LCSW (NPI 1619112828) is an individual clinical provider in Rego Park, New York, licensed in New York (075477) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1619112828
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNANCY ANNE SULLIVANCredential: LCSW
Location Address9729 64TH RDRego Park, NY 11374-2240
Mailing Address15913 Horace Harding ExpyFlushing, NY 11365-1424 · (917) 575-2344 · Fax (718) 262-1447
Phone(718) 896-3400
Fax(718) 459-5621
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 3, 2008
✔ NPI 1619112828 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 NY · 075477
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.
9729 64TH RD, Rego Park, NY 11374
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Other Names 1

Other Name (5)Nancy Anne Watts Lcsw

Other Identifiers 1

Medicaid00244019NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Nancy Anne 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 ID8123256419
PECOS Enrollment IDI20140113001221
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

MRS. ESTHER EPSTEIN COOPER LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
CRYSTAL A JOHN MSW
Counselor (Mental Health)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
GEORGE DRUCKER LMSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
PHYLLIS HYATT LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
ELIZABETH LYNN CAMPBELL LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
MS. RENEE SARAH KELLY LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
KATHLEEN LYSOHIR LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400
MS. ELAINE THYPIN LEDERER LCSW
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Queens County (718) 896-3400

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 Nancy Sullivan's NPI number?

The NPI number for Nancy Sullivan is 1619112828. It was assigned to this individual provider in the NPPES registry on December 3, 2008. The provider is also known as Nancy Anne Watts Lcsw.

Where is Nancy Sullivan located?

Nancy Sullivan practices at 9729 64th Rd, Rego Park, NY 11374. The listed phone number is (718) 896-3400.

What is Nancy Sullivan's specialty?

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

Is Nancy Sullivan enrolled in Medicare?

Yes. Nancy Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nancy Sullivan accept?

Health plans from Providence Health Plan list Nancy Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nancy Sullivan was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.