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MS. MARY KATHERINE ELIZABETH SULLIVAN LCSW, LICSW
NPI 1881267540
Social Worker - Clinical in Mobile, AL

Active since July 21, 2021PECOS Enrolled
1204 VENDOME DR W, MOBILE, AL 36609(504) 345-8537 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Mary Katherine Elizabeth Sullivan Lcsw, Licsw NPPES

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

MS. MARY KATHERINE ELIZABETH SULLIVAN LCSW, LICSW (NPI 1881267540) is an individual clinical provider in Mobile, Alabama, licensed in Alabama (5027C) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881267540
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY KATHERINE ELIZABETH SULLIVANCredential: LCSW, LICSW
Location Address1204 VENDOME DR WMobile, AL 36609-3326
Mailing Address1204 Vendome Dr WMobile, AL 36609-3326 · (504) 345-8537
Phone(504) 345-8537
Sole ProprietorYes
Enumeration DateJuly 21, 2021
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1881267540 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 AL · 5027C✔ Licensed in VA · 0904016013✔ Licensed in LA · 15192✔ Licensed in TX · 112281
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.
1204 VENDOME DR W, Mobile, AL 36609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Katherine Elizabeth Sullivan Lcsw, Licsw 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 Mary Katherine Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
592 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Louisiana and Texas enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 36609 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 $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

MKE CONSULTING, LLC
Social Worker (Clinical)
1204 VENDOME DR W
MOBILE, AL 36609
Mobile County (251) 459-4201

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 Mary Katherine Sullivan's NPI number?

The NPI number for Mary Katherine Sullivan is 1881267540. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Mary Katherine Sullivan located?

Mary Katherine Sullivan practices at 1204 Vendome Dr W, Mobile, AL 36609. The listed phone number is (504) 345-8537.

What is Mary Katherine Sullivan's specialty?

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

Is Mary Katherine Sullivan enrolled in Medicare?

Yes. Mary Katherine Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Katherine Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Katherine Sullivan reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Mary Katherine Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Katherine Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Mary Katherine 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 Mary Katherine Sullivan was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.