MICHELE SULLIVAN-GRANT LICSW
NPI 1679789994
Social Worker - Clinical in New Bedford, MA

NPI Status: Active since May 15, 2007

Contact Information

30-32R GIFFORD ST
NEW BEDFORD, MA
ZIP 02744
Phone: (508) 999-3126
Fax: (508) 991-8579

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • PECOS Enrolled

About MICHELE SULLIVAN-GRANT

This page provides the complete NPI Profile along with additional information for Michele Sullivan-grant, a provider established in New Bedford, Massachusetts with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1679789994 assigned on May 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 1025561 (MA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1679789994
Provider Name
MICHELE SULLIVAN-GRANT LICSW
Gender
Female
Entity Type
Individual
Location Address
30-32R GIFFORD ST NEW BEDFORD, MA 02744
Location Phone
(508) 999-3126
Location Fax
(508) 991-8579
Mailing Address
PO BOX 2097 NEW BEDFORD, MA 02741
Mailing Phone
(508) 999-3126
Mailing Fax
(508) 991-8579
Is Sole Proprietor?
No
Enumeration Date
05-15-2007
Last Update Date
07-08-2007
Code Navigator

A clinical social worker like Michele Sullivan-grant is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
1025561
License State
MA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P20176MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Michele Sullivan-grant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 900 times for 27 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02744 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $58.86
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.22
  • Minimum Established Patient Price $19.11
  • Maximum Established Patient Price $144.84
  • Average Established Patient Copayment $18.3
  • Minimum Established Patient Copayment $4.77
  • Maximum Established Patient Copayment $36.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679789994, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 86. The final step is to find the difference between that total and the next multiple of ten (90 - 86 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 4 + 8 + 1 + 8 + 9 + 1 + 8 + 24 = 86

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 86 is 90. The difference is the calculated check digit.

90 - 86 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679789994.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker (Clinical)
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Social Worker (Clinical)
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Counselor
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Social Worker (Clinical)
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Social Worker (Clinical)
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Counselor
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Counselor
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Social Worker (Clinical)
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Case Manager/Care Coordinator
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Case Manager/Care Coordinator
30-32R GIFFORD ST
NEW BEDFORD, MA 02744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679789994, enumerated as an "individual" on May 15, 2007.

The provider is located at 30-32R GIFFORD ST NEW BEDFORD, MA 02744 and the phone number is (508) 999-3126.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.