DR. MICHAEL A SULLIVAN-TIBBS LCSW, LCAC
NPI 1720394562
Social Worker - Clinical in Memphis, TN

Q: What is Michael Sullivan-tibbs's NPI number?

The NPI number for Michael Sullivan-tibbs is 1720394562. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Michael Sullivan-tibbs's specialty?

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

Active since August 30, 2010

1030 JEFFERSON AVE, MEMPHIS, TN 38104(317) 748-8710 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael A Sullivan-tibbs Lcsw, Lcac NPPES

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

DR. MICHAEL A SULLIVAN-TIBBS LCSW, LCAC (NPI 1720394562) is an individual clinical provider in Memphis, Tennessee, licensed in Indiana (34005914A) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1720394562

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDR. MICHAEL A SULLIVAN-TIBBSCredential: LCSW, LCAC

Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127

Mailing Address3400 Lebanon RdMurfreesboro, TN 37129-1392 · (615) 225-4729

Phone(317) 748-8710

Sole ProprietorYes

Enumeration DateAugust 30, 2010

Last NPPES UpdateFebruary 14, 2019

✔ NPI 1720394562 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 IN · 34005914A

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000061A (IN)

1030 JEFFERSON AVE, Memphis, TN 38104

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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.

MISS DEBORAH GERISE KARTHEISER RN

Registered Nurse (Psychiatric/Mental Health)