KELLY CATHERINE O'SULLIVAN (NPI# 1043844053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043844053 |
| Entity Type | Individual |
| Full Name | KELLY CATHERINE O'SULLIVAN |
| Credential | LCSW |
| Practice Address |
4580 Broadway Frnt 1 New York NY 10040-2105 |
| Mailing Address |
425 E 80th St Apt 7c New York NY 10075-0613 |
| Practice Telephone | 9173009842 |
| Mailing Telephone | 3059921784 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
087595 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467488072 | Kelly O'sullivan | Physician Assistant | 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 | 2006-06-24 |
| 1750332474 | Kelly Ann O'sullivan | Family Medicine | 750 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2006-05-15 |
| 1144615519 | Kelly O'sullivan | Occupational Therapist | 6530 33rd Ave Nw, Olympia, WA 98502-8846 | 2015-04-02 |
| 1881007201 | Kelly O'sullivan | Student in an Organized Health Care Education/Training Program | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2014-06-03 |
| Street Address |
4580 BROADWAY FRNT 1 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10040-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550854 | Dahina Tavarez | Social Worker | 607w 190th St Apt 2d, New York, NY 10040 | 2016-10-26 |
| 1518418011 | Andres M. Pereira M.d.p.c. | Family Medicine | 47 Sickles St Suite 1a, New York, NY 10040 | 2016-10-19 |
| 1003281692 | Sandra Feliz | Specialist | 34 Bogardus Place Apt 2a, New York, NY 10040 | 2015-12-08 |
| 1790179562 | G Home Companion Services, Inc. | In Home Supportive Care | 25 Nagle Ave Apt # 5a, New York, NY 10040 | 2015-03-19 |
| 1669810503 | Sandra I. Morban | Licensed Practical Nurse | 45 Thayer St. #5g, New York, NY 10040 | 2013-06-13 |
| 1679814248 | Zheng Zhou | Psychologist | 340 Cabrini Blvd, Apt 203, New York, NY 10040 | 2013-03-07 |
| 1710253323 | Miriam P Bacon | Physical Therapist | 12-18 Ellwood Street, New York, NY 10040 | 2012-03-28 |
| 1730455593 | Alyssa Marie Corr | Occupational Therapist | 1218 Ellwood Street, Ny, NY 10040 | 2012-03-27 |
| 1801160254 | Claire Gordon | Speech-Language Pathologist | 802 West 190 St., #2-g, New York, NY 10040 | 2012-03-02 |
| 1548542483 | Samuel Emerson Carlisle | Social Worker | 4530 Broadway 4e, New York, NY 10040 | 2011-09-16 |
| Find all providers in zip 10040 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.