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MS. PATRICIA PAULINE SULLIVAN LMSW LMFT DCSW
NPI 1639233786
Social Worker - Clinical in East Tawas, MI

Active since December 21, 2006Opted out of Medicare · through Jan 1, 2028
1864 E US 23, SUITE B, EAST TAWAS, MI 48730(989) 305-6280 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Patricia Pauline Sullivan Lmsw Lmft Dcsw NPPES

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

MS. PATRICIA PAULINE SULLIVAN LMSW LMFT DCSW (NPI 1639233786) is an individual clinical provider in East Tawas, Michigan, licensed in Michigan (6801035911) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639233786
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. PATRICIA PAULINE SULLIVANCredential: LMSW LMFT DCSW
Location Address1864 E US 23, SUITE BEast Tawas, MI 48730-9349
Mailing Address1864 E Us 23, Suite BEast Tawas, MI 48730-9349 · (989) 305-6280
Phone(989) 305-6280
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateOctober 24, 2011
✔ NPI 1639233786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801035911
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4101005476 (MI)
1864 E US 23, East Tawas, MI 48730
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified08910440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Patricia Pauline Sullivan Lmsw Lmft Dcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48730 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

RYAN R HOWSER PEDORTHIST
Pedorthist
1864 E US 23, SUITE B2
EAST TAWAS, MI 48730
Iosco County (989) 362-7500
COBBLER'S CORNER FOOT CENTER
Pedorthist
1864 E US 23, SUITE B2
EAST TAWAS, MI 48730
Iosco County (989) 362-7500

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 Patricia Sullivan's NPI number?

The NPI number for Patricia Sullivan is 1639233786. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Patricia Sullivan located?

Patricia Sullivan practices at 1864 E Us 23 Suite B, East Tawas, MI 48730. The listed phone number is (989) 305-6280.

What is Patricia Sullivan's specialty?

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

Is Patricia Sullivan enrolled in Medicare?

No. Patricia Sullivan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Patricia Sullivan was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.