SHANNON SULLIVAN


Address: 100 Cherry St Se, Grand Rapids, MI 49503-4526
Phone: 6169658200

SHANNON SULLIVAN (NPI# 1134596687) 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) 1134596687
Entity Type Individual
Full Name SHANNON SULLIVAN
Other Name SHANNON MCCULLOUGH
Credential LMSW
Practice Address 100 Cherry St Se
Grand Rapids
MI 49503-4526
Practice Telephone 6169658200
Mailing Telephone 6169658200
Enumeration Date 2015-08-31
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
925807 MI Behavioral Health & Social Service Providers

Other Providers SHANNON SULLIVAN

NPI Name Taxonomy Address Enumeration
1639728207 Shannon Oliver Sullivan Counselor 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 2019-09-06
1295395853 Shannon Sullivan Durable Medical Equipment & Medical Supplies 14095 E Exposition Ave, Aurora, CO 80012-2522 2019-06-17
1730716010 Shannon Allison Sullivan Student in an Organized Health Care Education/Training Program 101 The City Drive S, City Tower, Ste 400, Orange, CA 92868 2020-03-25
1831725662 Shannon Sullivan Social Worker 224 Alexander St, Rochester, NY 14607-4000 2020-03-12
1841822053 Shannon Rose Sullivan Speech-Language Pathologist 9520 Prototype Ct, Reno, NV 89521-5916 2020-02-05
1619514239 Shannon Michelle Sullivan Rehabilitation Practitioner 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 2019-12-02
1679048425 Shannon Elyse Sullivan Occupational Therapist 14715 Ne Bel Red Rd, Bellevue, WA 98007-3940 2018-10-08
1174028732 Shannon Jean Sullivan Student in an Organized Health Care Education/Training Program 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 2018-03-27
1609392737 Shannon Marie Sullivan Counselor 859 Willard St Ste 430, Quincy, MA 02169-7490 2017-08-21
1114394202 Shannon Sullivan Speech-Language Pathologist 64 Main St, Sturbridge, MA 01566-1244 2015-08-25

Office Location

Street Address 100 CHERRY ST SE
City GRAND RAPIDS
State MI
Zip Code 49503-4526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033182894 Mary P Chelsky Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2006-02-10
1043837925 Mawada Osman Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2020-06-26
1922637651 Dominic Reihl Student in an Organized Health Care Education/Training Program 100 Cherry St Se, Grand Rapids, MI 49503-4526 2020-04-04
1578108155 Susan Jean Hutson Dental Assistant 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-11-07
1639711013 Kelsey Renee Butcher Registered Nurse 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-10-17
1912551219 Mallory Anderson Dental Hygienist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-25
1669025888 Rachel Owen Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-17
1255993481 Nicholae Brown Dentist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-09
1659931020 Maria E Sicco Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-06-18
1245894385 Allison Lynn-yung Vankampen Social Worker 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-04-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

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
1225639560 Ananya Avinash Social Worker 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 2020-11-03
1982203485 Becoming You Therapy Pllc Social Worker 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 2020-10-26
1235738774 Huffman Counseling Services LLC Social Worker 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 2020-10-24
1730795816 Elizabeth Anne Maher Social Worker 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 2020-09-23
1437764511 Titiana Shanee Richardson Social Worker 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 2020-09-15
1205448834 Rose Training & Education, LLC Social Worker 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 2020-08-17
1497366967 Krista L. Leinberger, LLC Social Worker 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 2020-08-10
1609493782 Lauren Anne Tarkiewicz Social Worker 700 Alger St Se, Grand Rapids, MI 49507-3531 2020-07-06
1841814779 Molly Ballantyne Social Worker 1166 Hall St Se, Grand Rapids, MI 49507-1971 2020-06-06
1942839238 Patricia Hickey Msw Social Worker 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 2020-04-07
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49503

Improve Information

Please comment or provide details below to improve the information on SHANNON SULLIVAN.

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.

Trending Searches