MS. NANCY JANE SULLIVAN (NPI# 1316930282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316930282 |
| Entity Type | Individual |
| Full Name | MS. NANCY JANE SULLIVAN |
| Credential | LCSW, MSW, MED |
| Practice Address |
1800 Cooper Point Rd Sw Building 24b Olympia WA 98502-1178 |
| Mailing Address |
1718 8th Ave Sw Olympia WA 98502-5216 |
| Practice Telephone | 3607861195 |
| Mailing Telephone | 3607549330 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00004150 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AETNA | 0007652345 | 01 |
| WA | UNIFORM MEDICAL PLAN | 1263101000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215952759 | Nancy Elizabeth Sullivan | Clinical Neuropsychologist | 2555 Park Blvd, Suite 20, Palo Alto, CA 94306-1924 | 2006-07-13 |
| 1578967394 | Nancy Leefong-chang Sullivan | Nurse Practitioner | 1105 S 348th St Ste B103, Federal Way, WA 98003-7027 | 2014-10-22 |
| 1902146715 | Nancy Peters Sullivan | Nurse Practitioner | 87 Paine Mountain Dr, Northfield, VT 05663-5791 | 2013-02-15 |
| 1700135910 | Nancy Carla Sullivan | Licensed Practical Nurse | 2000 Domanik Dr, Racine, WI 53404-2910 | 2012-09-04 |
| 1437471778 | Nancy J Sullivan | Registered Nurse | 1323 W Prince Rd, Tucson, AZ 85705-3114 | 2010-02-26 |
| 1710114376 | Nancy Marie Sullivan | Anesthesiology | 4200 University Ave Ste 300, West Des Moines, IA 50266-5945 | 2009-06-22 |
| 1619112828 | Nancy Anne Sullivan | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2240 | 2008-12-03 |
| 1457504433 | Nancy L. Sullivan | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 311, Newport News, VA 23602-4414 | 2008-11-04 |
| 1033321138 | Nancy Sullivan | Registered Nurse | 1221 Fulton Mall, Fresno, CA 93721-1915 | 2007-05-03 |
| 1801010434 | Nancy E. Sullivan | Counselor | 586 Merrimack St, Lowell, MA 01854-3944 | 2007-04-13 |
| Street Address |
1800 COOPER POINT RD SW BUILDING 24B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417480823 | Fabiola Torres Lopez | Behavioral Analyst | 1800 Cooper Point Rd Sw, Bldg. 21, Olympia, WA 98502-1178 | 2017-04-04 |
| 1659810653 | Caroline Gibney | Behavioral Analyst | 1800 Cooper Point Rd Sw, Bldg. 21, Olympia, WA 98502-1178 | 2017-02-23 |
| 1871035105 | Megan Tady | Behavioral Analyst | 1800 Cooper Point Rd Sw, Suite 21, Olympia, WA 98502-1178 | 2016-11-17 |
| 1598217242 | Ashley Nicole Piacenti | Behavioral Analyst | 1800 Cooper Point Rd Sw, Suite 21, Olympia, WA 98502-1178 | 2016-10-28 |
| 1760932180 | Teresa Eucker | Specialist | 1800 Cooper Point Rd Sw, Bldg 2, Olympia, WA 98502-1178 | 2016-10-10 |
| 1417402835 | Leanne Elizabeth Cobb | Behavioral Analyst | 1800 Cooper Point Rd Sw, Suite 21, Olympia, WA 98502-1178 | 2016-08-16 |
| 1275985541 | Paige Hernandez | Behavioral Analyst | 1800 Cooper Point Rd Sw, Building 21, Olympia, WA 98502-1178 | 2016-07-11 |
| 1184076499 | Latoya Evans | Behavioral Analyst | 1800 Cooper Point Rd Sw, Suite 21, Olympia, WA 98502-1178 | 2016-07-11 |
| 1699127092 | Cierra Driscoll | Behavioral Analyst | 1800 Cooper Point Rd Sw, Suite 21, Olympia, WA 98502-1178 | 2016-07-08 |
| 1356799894 | Allison Conzatti | Behavioral Analyst | 1800 Cooper Point Rd Sw, Building 21, Olympia, WA 98502-1178 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1235753328 | Emma Pereira | Social Worker | 1022 Brawne Ave Nw, Olympia, WA 98502-4803 | 2020-06-03 |
| 1255952628 | Kerri Ann Duke | Social Worker | 6706 Prairie Ridge Dr Ne, Olympia, WA 98516-6248 | 2020-04-27 |
| 1790164291 | Karen M. Buckley LLC | Social Worker | 2608 Pacific Ave Se Ste C, Olympia, WA 98501-2085 | 2015-05-29 |
| 1598161853 | Maria Oprea | Social Worker | 905 24th Way Sw Ste B3, Sea Mar Mss, Olympia, WA 98502-6033 | 2014-11-14 |
| 1619309440 | Elizabeth Bartleson | Social Worker | 2740 Fishtrap Rd Ne, Olympia, WA 98506-9611 | 2013-08-03 |
| 1992047500 | Jerry Joseph Conway | Social Worker | 6111 Elizan Dr Nw, Olympia, WA 98502-9617 | 2013-03-21 |
| 1952642084 | Virginia Cailleteau | Social Worker | 108 22nd Ave Sw Ste 8, Olympia, WA 98501-2871 | 2013-03-14 |
| 1427376474 | Mary Gibson Fischer | Social Worker | 7742 Jenni St Ne, Olympia, WA 98506-9761 | 2010-05-13 |
| 1750615803 | Kathleen M King | Social Worker | 222 Columbia St Nw, Olympia, WA 98501-8208 | 2009-09-22 |
| 1174756787 | Dani Marie Myers | Social Worker | 400 Union Ave Se, Suite 200, Olympia, WA 98501-2059 | 2009-08-30 |
| Find all providers in OLYMPIA | ||||
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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.