MS. KEESHA MONAIE SULLIVAN


Address: 4100 W Kennedy Blvd, Suite 327, Tampa, FL 33609-2288
Phone: 7276927364

MS. KEESHA MONAIE SULLIVAN (NPI# 1053653840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053653840
Entity Type Individual
Full Name MS. KEESHA MONAIE SULLIVAN
Credential LCSW
Practice Address 4100 W Kennedy Blvd
Suite 327
Tampa
FL 33609-2288
Mailing Address 8450 112th St.
Unit 104
Seminole
FL 33772-4221
Practice Telephone 7276927364
Mailing Telephone 7276927364
Enumeration Date 2013-03-20
Last Update Date 2013-05-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
070494 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
SW11227 FL Behavioral Health & Social Service Providers

Office Location

Street Address 4100 W KENNEDY BLVD
SUITE 327
City TAMPA
State FL
Zip Code 33609-2288

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366492878 Mark C Klisch Clinical Neuropsychologist 4100 W Kennedy Blvd, Suite 327, Tampa, FL 33609-2288 2006-05-12
1366981946 Foundations for Growth, Pllc Social Worker 4100 W Kennedy Blvd, Suite 326, Tampa, FL 33609-2288 2017-02-16
1922558733 Bayada Home Health Care, Inc. Home Health 4100 W Kennedy Blvd, Suite 128, Tampa, FL 33609-2288 2016-10-05
1508311994 Catalyst Center for Change LLC Counselor 4100 W Kennedy Blvd, Suite 210, Tampa, FL 33609-2288 2016-08-16
1699133660 Scott Grupp Counselor 4100 W Kennedy Blvd, 210, Tampa, FL 33609 2016-02-05
1154700276 Total Vitality Medical Group Non-Pharmacy Dispensing Site 4100 W Kennedy Blvd, Suite 114, Tampa, FL 33609-2288 2015-05-21
1801286752 Holistic Psychology Services, LLC Psychologist 4100 W Kennedy Blvd, Suite 212, Tampa, FL 33609-2288 2015-01-30
1174934665 Millyan Cabrera, Lmhc, Rpt Counselor 4100 W Kennedy Blvd, Suite 120, Tampa, FL 33609-2288 2014-05-19
1407277296 International Rehabilitative Sciences Inc. Durable Medical Equipment & Medical Supplies 4100 W Kennedy Blvd, Ste 208, Tampa, FL 33609-2288 2013-12-20
1841639929 An Awakened Heart Psychological Approaches Tomentalhealth Wellness LLC Community/Behavioral Health 4100 W Kennedy Blvd, 327, Tampa, FL 33609-2288 2013-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427521970 Kampsen Hearing LLC Audiologist 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 2019-01-08
1629557319 Priscilla Luna-mitchum Physical Therapist 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 2018-08-13
1043735657 Mary Elizabeth Osbach Registered Nurse 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 2017-08-04
1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
1033658513 Adela Reeb Specialist/Technologist 909 North Dale Mabry Hwy, Tampa, FL 33609 2017-02-17
1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
1275992448 Jennifer Stich Behavioral Analyst 3210 W De Leon St # B, Tampa, FL 33609 2016-02-16
1154711505 Health E Systems, LLC Transportation Broker 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 2015-01-23
1619375292 Healthexchange Systems, LLC Home Health 5100 West Lemon Street, Suite 311, Tampa, FL 33609 2014-12-12
1538567458 Calvin Harrison Iv Occupational Therapist 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 2014-12-09
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598365157 Raenequa Baker Social Worker 5118 N 56th St Ste 111, Tampa, FL 33610-5440 2020-10-31
1851999429 Jasmine Torres Social Worker 2807 W Busch Blvd, Tampa, FL 33618-4562 2020-10-15
1396350310 Melania Jean Macip-billbe Social Worker 1924 Inner Oak Cir Apt 302, Tampa, FL 33619-7042 2020-09-15
1194339663 Erin Mcentegart Social Worker 4719 W Fair Oaks Ave, Tampa, FL 33611-2117 2020-09-02
1144832213 Holly J Wilson Social Worker 19194 Lake Audubon Dr, Tampa, FL 33647-3232 2020-08-20
1093327504 Compassionate Counseling of Tampa Bay Social Worker 2702 S Beach Dr, Tampa, FL 33629-7503 2020-08-18
1396356192 Silvia Ximena Perez Social Worker 7405 Albany Dr, Tampa, FL 33625-3803 2020-08-14
1164033080 Tammy J Clevenger Social Worker 215 W Verne St, Tampa, FL 33606-2324 2020-08-13
1548878028 Odat Coaching & Counseling Social Worker 812 W Mlk Blvd, Tampa, FL 33603-3338 2020-07-21
1205454329 Amanda Jennings Farris Social Worker 611 S Glen Ave, Tampa, FL 33609-4607 2020-07-07
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Competitor

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City TAMPA
Zip Code 33609

Improve Information

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Dataset Information

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.

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