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MS. JACQUELYN RUTH SULLIVAN LCSW
NPI 1952406282
Social Worker - Clinical in Sidney, NY

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
76 MAIN STREET, SUITE B, SIDNEY, NY 13838(607) 563-4080(607) 336-7326 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jacquelyn Ruth Sullivan Lcsw NPPES

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

MS. JACQUELYN RUTH SULLIVAN LCSW (NPI 1952406282) is an individual clinical provider in Sidney, New York, licensed in New York (071014) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1952406282
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACQUELYN RUTH SULLIVANCredential: LCSW
Location Address76 MAIN STREET, SUITE BSidney, NY 13838
Mailing AddressPo Box 1046, Attn: Sally Follett-billing ServicesNorwich, NY 13815 · (607) 334-5010 · Fax (607) 336-7326
Phone(607) 563-4080
Fax(607) 336-7326
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 27, 2011
✔ NPI 1952406282 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 NY · 071014
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.
76 MAIN STREET, Sidney, NY 13838
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Other Identifiers 2

Medicare PINA300048950NY
Other713668NY · Mvp Mohawk Valley Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jacquelyn Ruth Sullivan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375558919
PECOS Enrollment IDI20060217000371
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13838 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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 Jacquelyn Sullivan's NPI number?

The NPI number for Jacquelyn Sullivan is 1952406282. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Jacquelyn Sullivan located?

Jacquelyn Sullivan practices at 76 Main Street Suite B, Sidney, NY 13838. The listed phone number is (607) 563-4080.

What is Jacquelyn Sullivan's specialty?

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

Is Jacquelyn Sullivan enrolled in Medicare?

Yes. Jacquelyn Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelyn Sullivan accept?

Health plans from Providence Health Plan list Jacquelyn 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 Jacquelyn Sullivan was last updated on July 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.