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MR. RYAN EDWARD SULLIVAN LCSW
NPI 1679099170
Social Worker - Clinical in West Haven, CT

Active since August 16, 2017PECOS EnrolledAccepts Medicare Assignment
285 MAIN STREET, CSHHC-WEST HAVEN HEALTH CENTER COUNSELING SERVICES, WEST HAVEN, CT 06516(203) 503-3409(203) 503-3414 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2019, Aug 16, 2017 (2 updates tracked since 2017).

About Mr. Ryan Edward Sullivan Lcsw NPPES

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

MR. RYAN EDWARD SULLIVAN LCSW (NPI 1679099170) is an individual clinical provider in West Haven, Connecticut, licensed in Connecticut (10731) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2017).

NPPES Registry Identity

NPI1679099170
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RYAN EDWARD SULLIVANCredential: LCSW
Location Address285 MAIN STREET, CSHHC-WEST HAVEN HEALTH CENTER COUNSELING SERVICESWest Haven, CT 06516-7307
Mailing AddressPo Box 7720, Credentialing SpecialistNew Haven, CT 06519-0720 · (203) 503-3174 · Fax (203) 503-3183
Phone(203) 503-3409
Fax(203) 503-3414
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2017
Enumeration DateAugust 16, 2017
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1679099170 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 CT · 10731
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.
285 MAIN STREET, West Haven, CT 06516
Open in Google Maps ↗

Other Identifiers 1

Medicaid004235918CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan Edward 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 ID2961731161
PECOS Enrollment IDI20190913000988
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 Ryan Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
1.7 mi
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 06516 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

REBECCA CONNELLY MFT
Marriage & Family Therapist
285 MAIN STREET, CS-HHC WHCCS
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3409
KATHERINE MALA LCSW
Social Worker (Clinical)
285 MAIN STREET, WEST HAVEN HEALTH CENTER COUNSELING SERVICES
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3409

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 Ryan Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1679099170. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 285 Main Street Cshhc-West Haven Health Center Counseling Services, West Haven, CT 06516. The listed phone number is (203) 503-3409.

What is Ryan Sullivan's specialty?

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

Is Ryan Sullivan enrolled in Medicare?

Yes. Ryan 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.

Which organization bills Medicare for Ryan Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sullivan reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). 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 Ryan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Ryan 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 Ryan Sullivan was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.