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MIRANDA ROSEMARIE SULLIVAN LICSW, MHP, SUDPT
NPI 1912521469
Social Worker - Clinical in Seattle, WA

Active since June 01, 2020
12245 N PARK AVE N, SEATTLE, WA 98133(206) 551-1464 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2024, Jun 13, 2024, Jun 1, 2020 (3 updates tracked since 2020).

About Miranda Rosemarie Sullivan Licsw, Mhp, Sudpt NPPES

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

MIRANDA ROSEMARIE SULLIVAN LICSW, MHP, SUDPT (NPI 1912521469) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61541936) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1912521469
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRANDA ROSEMARIE SULLIVANCredential: LICSW, MHP, SUDPT
Location Address12245 N PARK AVE NSeattle, WA 98133-8026
Mailing Address12245 N Park Ave NSeattle, WA 98133-8026 · (206) 551-1464
Phone(206) 551-1464
Sole ProprietorNo
Enumeration DateJune 1, 2020
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1912521469 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 WA · LW61541936
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 CO61062660 (WA)
12245 N PARK AVE N, Seattle, WA 98133
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

SEATTLE MENTAL HEALTH COLLECTIVE
Clinic/Center (Mental Health (Including Community Mental Health Center))
12245 N PARK AVE N
SEATTLE, WA 98133
King County (206) 551-1464

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 Miranda Sullivan's NPI number?

The NPI number for Miranda Sullivan is 1912521469. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Miranda Sullivan located?

Miranda Sullivan practices at 12245 N Park Ave N, Seattle, WA 98133. The listed phone number is (206) 551-1464.

What is Miranda Sullivan's specialty?

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

What insurance does Miranda Sullivan accept?

Health plans from Kaiser Permanente and Premera Blue Cross Blue Shield of Alaska list Miranda 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 Miranda Sullivan was last updated on July 17, 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.