Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATIE MOSES SULLIVAN LICSW
NPI 1790337095
Social Worker - Clinical in Minneapolis, MN

Active since July 16, 2019
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405(612) 871-1454(612) 871-1505 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Jul 16, 2019 (2 updates tracked since 2019).

About Katie Moses Sullivan Licsw NPPES

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

KATIE MOSES SULLIVAN LICSW (NPI 1790337095) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (17997) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1790337095
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE MOSES SULLIVANCredential: LICSW
Location Address1100 GLENWOOD AVEMinneapolis, MN 55405-1430
Mailing Address1100 Glenwood AveMinneapolis, MN 55405-1430 · (612) 871-1454 · Fax (612) 871-1505
Fax(612) 871-1505
Sole ProprietorNo
Enumeration DateJuly 16, 2019
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1790337095 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 MN · 17997
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.
1100 GLENWOOD AVE, Minneapolis, MN 55405

Accepted Insurance

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.

Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Counselor (Professional)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Marriage & Family Therapist
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405

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 Katie Sullivan's NPI number?

The NPI number for Katie Sullivan is 1790337095. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Katie Sullivan located?

Katie Sullivan practices at 1100 Glenwood Ave, Minneapolis, MN 55405. The listed phone number is (612) 871-1454.

What is Katie Sullivan's specialty?

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

What insurance does Katie Sullivan accept?

Health plans from HealthPartners list Katie 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 Katie Sullivan was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.