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JEANNE SULLIVAN LICSW LLC
NPI 1972191534
Social Worker - Clinical in Burlington, VT

Active since January 08, 2021
39 WOODBURY RD, BURLINGTON, VT 05408(802) 999-5100 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeanne Sullivan Licsw Llc NPPES

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

JEANNE SULLIVAN LICSW LLC (NPI 1972191534) is a healthcare organization registered as a clinical in Burlington, Vermont and active in the NPI registry since January 2021. The organization lists Jeanne M Sullivan, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1972191534
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJEANNE SULLIVAN LICSW LLC
Location Address39 WOODBURY RDBurlington, VT 05408-5723
Mailing Address39 Woodbury RdBurlington, VT 05408-5723 · (802) 999-5100
Phone(802) 999-5100
Organization SubpartNo
Authorized OfficialJeanne M SullivanSole Proprietor · (802) 999-5100
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1972191534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
39 WOODBURY RD, Burlington, VT 05408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne Sullivan Licsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeanne Sullivan Licsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeanne Sullivan, LICSW
Clinical Social Worker
NPI 1851685515
2 CHURCH ST
Burlington, VT 05401
(802) 999-5100
✔ PECOS✔ Accepts Medicare2.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeanne Sullivan Licsw LLC's NPI number?

The NPI number for Jeanne Sullivan Licsw LLC is 1972191534. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is Jeanne Sullivan Licsw LLC located?

Jeanne Sullivan Licsw LLC is located at 39 Woodbury Rd, Burlington, VT 05408. The listed phone number is (802) 999-5100.

What is Jeanne Sullivan Licsw LLC's specialty?

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

Is Jeanne Sullivan Licsw LLC enrolled in Medicare?

Yes. Jeanne Sullivan Licsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeanne Sullivan Licsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jeanne Sullivan Licsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeanne Sullivan Licsw LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeanne Sullivan Licsw LLC 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 Jeanne Sullivan Licsw LLC was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.