JENNIFER LYNN SULLIVAN LCSW
NPI 1811442791
Social Worker - Clinical in Albuquerque, NM

Q: What is Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1811442791. It was assigned to this individual provider in the NPPES registry on August 19, 2016. The provider is also known as Jennifer Lynn Gordon.

Q: What is Jennifer Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Sullivan was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 19, 2016PECOS Enrolled

1709 MOON ST NE, ALBUQUERQUE, NM 87112(505) 271-0329 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2025, May 14, 2025, May 9, 2024 and 2 more (5 updates tracked since 2016).

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About Jennifer Lynn Sullivan Lcsw NPPES

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

JENNIFER LYNN SULLIVAN LCSW (NPI 1811442791) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (C-10706) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1811442791

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNN SULLIVANCredential: LCSW

Location Address1709 MOON ST NEAlbuquerque, NM 87112-3935

Mailing Address1709 Moon St NeAlbuquerque, NM 87112-3935 · (505) 271-0329

Phone(505) 271-0329

Sole ProprietorNo

Enumeration DateAugust 19, 2016

Last NPPES UpdateDecember 1, 20255 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1811442791 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 NM · C-10706

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.

1709 MOON ST NE, Albuquerque, NM 87112

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Other Names 1

Former Name (1)Jennifer Lynn Gordon

Secondary Practice Location 1

Location 18401 Constitution Ave NEAlbuquerque, NM 87110-7604 · Phone (505) 271-0329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Sullivan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unica

Same address

Community/Behavioral Health

1709 MOON ST NE
Albuquerque, NM 87112

Reassigned Medicare billing, New Mexico enrollment
17 clinicians in this Medicare group

NPI 1093935959 (505) 271-0329

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 87112 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 $54.26 – $166.80

Typical copayment $0.00 (range $13.56 – $41.70)

Most-billed visit code NA

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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 20

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

SHERRY MEURER

Counselor