HEATHER SULLIVAN LCSW
NPI 1801653506
Social Worker - Clinical in Alexandria, VA

Active since February 29, 2024Opted out of Medicare · through Apr 29, 2028
901 N WASHINGTON ST STE 206, ALEXANDRIA, VA 22314(202) 412-9672 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Sullivan Lcsw NPPES

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

HEATHER SULLIVAN LCSW (NPI 1801653506) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0904015926) and active in the NPI registry since February 2024. She has opted out of Medicare through April 29, 2028.

NPPES Registry Identity

NPI1801653506
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER SULLIVANCredential: LCSW
Location Address901 N WASHINGTON ST STE 206Alexandria, VA 22314-1535
Mailing Address901 N Washington St Ste 206Alexandria, VA 22314-1535
Sole ProprietorYes
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1801653506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904015926 Licensed in MD · 25414
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.

901 N WASHINGTON ST STE 206, Alexandria, VA 22314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Heather Sullivan Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2024 through April 29, 2028.

Opt-Out Effective DateApril 29, 2024
Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801653506, enumerated as an "individual" on February 29, 2024.

The provider is located at 901 N WASHINGTON ST STE 206 ALEXANDRIA, VA 22314 and the phone number is (202) 412-9672.

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