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DAVID A SULLIVAN
NPI 1689448052
Social Worker - Clinical in Tacoma, WA

Active since November 07, 2023PECOS Enrolled
10502 10TH AVE E, TACOMA, WA 98445(253) 219-1582 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2026, Nov 7, 2023 (2 updates tracked since 2023).

About David A Sullivan NPPES

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

DAVID A SULLIVAN (NPI 1689448052) is an individual clinical provider in Tacoma, Washington, licensed in Washington (LW61658479) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689448052
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID A SULLIVAN
Location Address10502 10TH AVE ETacoma, WA 98445-3115
Mailing Address10502 10th Ave ETacoma, WA 98445-3115 · (253) 219-1582
Phone(253) 219-1582
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 7, 2023
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1689448052 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 WA · LW61658479
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 ListedCounselorTaxonomy 101Y00000X · License SC61364725 (WA)
10502 10TH AVE E, Tacoma, WA 98445
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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)

David A Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052870094
PECOS Enrollment IDI20260828003807
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 David Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Care
6.3 mi
Federally Qualified Health Center (FQHC)
1148 BROADWAY STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 98 clinicians in this Medicare group
NPI 1790762755 (253) 597-4550

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 98445 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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

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

FOUNDATIONAL ROOTS THERAPY AND CONSULTING
Counselor (Mental Health)
10502 10TH AVE E
TACOMA, WA 98445
Pierce County (253) 219-1582

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 David Sullivan's NPI number?

The NPI number for David Sullivan is 1689448052. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is David Sullivan located?

David Sullivan practices at 10502 10th Ave E, Tacoma, WA 98445. The listed phone number is (253) 219-1582.

What is David Sullivan's specialty?

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

Is David Sullivan enrolled in Medicare?

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

Which organization bills Medicare for David Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sullivan reassigns Medicare benefits to Community Health Care (Tacoma, WA). 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 David 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 David Sullivan was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.