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MS. NICOLE ASHLEY SULLIVAN LCSW
NPI 1932625290
Social Worker in Smithtown, NY

Active since August 18, 2017PECOS Enrolled
105 E MAIN ST, SMITHTOWN, NY 11787(516) 316-5047(631) 244-0757 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2021, Aug 18, 2017 (2 updates tracked since 2017).

About Ms. Nicole Ashley Sullivan Lcsw NPPES

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

MS. NICOLE ASHLEY SULLIVAN LCSW (NPI 1932625290) is an individual social worker in Smithtown, New York, licensed in New York (091617) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932625290
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. NICOLE ASHLEY SULLIVANCredential: LCSW
Location Address105 E MAIN STSmithtown, NY 11787-2858
Mailing Address3 Vincent StBohemia, NY 11716-3707 · (631) 244-8635
Phone(516) 316-5047
Fax(631) 244-0757
Sole ProprietorNo
Enumeration DateAugust 18, 2017
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1932625290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NY · 091617✔ Licensed in NY · 100945
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
105 E MAIN ST, Smithtown, NY 11787
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Ashley 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.

Other Providers at the Same Location NPPES 2

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

EMOTIONAL HEALTH COUNSELING CONSULTING LCSW PC
Social Worker (Clinical)
105 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (516) 316-5047
GABRIELLA ZANNE LCSW
Social Worker (Clinical)
105 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 343-5361

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 Nicole Sullivan's NPI number?

The NPI number for Nicole Sullivan is 1932625290. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Nicole Sullivan located?

Nicole Sullivan practices at 105 E Main St, Smithtown, NY 11787. The listed phone number is (516) 316-5047.

What is Nicole Sullivan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicole Sullivan enrolled in Medicare?

Yes. Nicole Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Sullivan was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.