MRS. KIMBERLY ANN SULLIVAN (NPI# 1174070510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174070510 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN SULLIVAN |
| Practice Address |
45 Wadsworth St Hartford CT 06106-7108 |
| Practice Telephone | 8605271124 |
| Mailing Telephone | 8605271124 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585763 | Kimberly Sullivan | Community/Behavioral Health | 5025 Hadley Meadow Ct, Las Vegas, NV 89131-5211 | 2019-12-17 |
| 1467976225 | Kimberly Ann Sullivan | Registered Nurse | 5517 Wichita Ave, Cleveland, OH 44144-3650 | 2017-08-02 |
| 1578977674 | Kimberly Sullivan | Occupational Therapist | 10148 Marshall Pond Rd, Burke, VA 22015-3730 | 2014-06-17 |
| 1871896142 | Kimberly Sullivan | Massage Therapist | 7860 Gate Pkwy Ste 105, Jacksonville, FL 32256-7280 | 2010-12-08 |
| 1225275746 | Kimberly Ann Sullivan | Marriage & Family Therapist | 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624 | 2009-01-21 |
| 1336626159 | Kimberly Jarman Sullivan | Pharmacist | 403 Western Blvd, Jacksonville, NC 28546-6399 | 2018-07-24 |
| 1497244511 | Kimberly Paige Sullivan | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2018-05-03 |
| 1417468893 | Kimberly Marie Sullivan | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2017-10-12 |
| 1720462906 | Kimberly Afua Sullivan | Pharmacist | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2015-07-16 |
| 1770961005 | Kimberly Denise Sullivan | Registered Nurse | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2015-05-06 |
| Street Address |
45 WADSWORTH ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184715922 | Wanda Serrano-miller | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2006-09-27 |
| 1457985145 | Annemary Gordon | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2020-03-03 |
| 1689208373 | Subrina Nelson | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2020-03-03 |
| 1174173496 | Tatiana Isis Santana-morin | Student in an Organized Health Care Education/Training Program | 45 Wadsworth St, Hartford, CT 06106-7108 | 2019-09-18 |
| 1467004432 | Deborah Yolani Oquendo | Marriage & Family Therapist | 45 Wadsworth St, Hartford, CT 06106-7108 | 2019-07-10 |
| 1366928079 | Kathryn Hawrylik | Student in an Organized Health Care Education/Training Program | 45 Wadsworth St, Hartford, CT 06106-7108 | 2018-07-16 |
| 1386135689 | Danielle Elizabeth Bonsignore | Student in an Organized Health Care Education/Training Program | 45 Wadsworth St, Hartford, CT 06106-7108 | 2018-05-22 |
| 1114418514 | Alison Marie Panebianco | Student in an Organized Health Care Education/Training Program | 45 Wadsworth St, Hartford, CT 06106-7108 | 2018-05-22 |
| 1679092217 | Yanira Claudio | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2017-09-14 |
| 1750804399 | Elena Nolan | Student in an Organized Health Care Education/Training Program | 45 Wadsworth St, Hartford, CT 06106-7108 | 2017-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| 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 |
|---|---|---|---|---|
| 1295367431 | Rise Clinical Services, LLC | Social Worker | 151 New Park Ave Unit 2b, Hartford, CT 06106-2191 | 2020-02-05 |
| 1902441025 | Danielle Gatny | Social Worker | 57418 County Road 681 Ste C, Hartford, MI 49057-9421 | 2019-11-13 |
| 1336781806 | A Minds Journey LLC | Social Worker | 1339 Albany Ave, Hartford, CT 06112-2107 | 2019-10-16 |
| 1689147340 | Comfort Counseling and Wellness | Social Worker | 74 Mansfield St, Hartford, CT 06112-1938 | 2019-01-05 |
| 1275010324 | Oasis Bilingual Counseling Services, LLC. | Social Worker | 682 Prospect Ave # 202, Hartford, CT 06105-4238 | 2018-07-22 |
| 1689196859 | Luisa Dinino-jones | Social Worker | 90 Retreat Ave, Hartford, CT 06106-2535 | 2017-07-10 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1881141356 | Deborah Rogala | Social Worker | 110 Bartholomew Ave Suite 3010, Hartford, CT 06106 | 2016-09-01 |
| 1346796737 | Monica Alvarenga | Social Worker | 27 Carpenter St, Hartford, CT 06106-2008 | 2016-08-26 |
| 1033573860 | Katherine Gebhardt Carbine | Social Worker | 157 Charter Oak Ave, Hartford, CT 06106-1913 | 2016-04-07 |
| Find all providers in HARTFORD | ||||
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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.