LISA MARIE SULLIVAN (NPI# 1336486414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336486414 |
| Entity Type | Individual |
| Full Name | LISA MARIE SULLIVAN |
| Credential | LMSW |
| Practice Address |
18 Rose Pl Selden NY 11784-3122 |
| Practice Telephone | 5166812320 |
| Practice Fax Number | 5163960566 |
| Mailing Telephone | 5166812320 |
| Mailing Fax Number | 5163960566 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
083436-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| 1023059813 | Lisa Hope Sullivan | Physical Therapist | 15 Neil Ct, Inside Jcc, Oceanside, NY 11572-5815 | 2006-06-10 |
| Street Address |
18 ROSE PL |
| City | SELDEN |
| State | NY |
| Zip Code | 11784-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700113 | Taylor Mones | Occupational Therapist | 38 Sandy Lane, Selden, NY 11784 | 2018-08-18 |
| 1467942912 | Lisa Lucchese | Registered Nurse | 40 Kensington Avenue, Selden, NY 11784 | 2018-05-10 |
| 1194246629 | Jessica Ann Cutrone | Specialist | 13 Berkeley Ave, Selden, NY 11784 | 2017-07-06 |
| 1811429780 | Jennifer Kinsella | Registered Nurse | 553 College Road, Selden, NY 11784 | 2017-03-30 |
| 1932647781 | Kathleen A Reilly | Behavior Technician | 25 Buckskin Lane, Selden, NY 11784 | 2017-02-01 |
| 1942758933 | Claire Moore | Physician Assistant | 239 Boyle Rd Ste 7, Selden, NY 11784 | 2016-09-19 |
| 1104206051 | Anna Satalino | Psychologist | 163 South Evergreen Dr, Selden, NY 11784 | 2015-06-05 |
| 1275963597 | Rosalyn Grasparil | Physical Therapist | 260 Middle Country Rd Bldg 3 Suite 9-a, Selden, NY 11784 | 2013-11-22 |
| 1295002772 | Christian Leparto | Registered Nurse | 12 Elm Ct, Selden, NY 11784 | 2011-11-28 |
| 1275800260 | Maryse Leveque | Registered Nurse | 4 Richard Road, Selden, NY 11784 | 2011-11-19 |
| Find all providers in zip 11784 | ||||
| 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 |
|---|---|---|---|---|
| 1861887176 | Georgette Morales | Social Worker | 102 Paula Blvd, Selden, NY 11784-2636 | 2015-04-02 |
| 1699924555 | Cathy J Oliva | Social Worker | 6 Texas St, Selden, NY 11784-1604 | 2008-09-16 |
| 1871777854 | Marcia M Tieger | Social Worker | 31 New Ln, Selden, NY 11784-3303 | 2007-12-26 |
| 1013072792 | Eugene Francis Moynihan Jr. | Social Worker | 131 S Bicycle Path, Selden, NY 11784-3825 | 2006-12-24 |
| 1114960366 | Virginia Lois Medina-lomas | Social Worker | 1305 Middle Country Rd Ste 14d, Selden, NY 11784-2554 | 2006-06-14 |
| 1720087117 | Geoffrey Thomas Oconnell | Social Worker | 1312 Middle Country Rd, Selden, NY 11784-2526 | 2005-07-18 |
| 1396243788 | Julie Lomot | Social Worker | 25 N Bicycle Path, Selden, NY 11784-2200 | 2018-01-31 |
| 1093105355 | Jennifer Vetter | Social Worker | 3 Denise Ct, Selden, NY 11784-4005 | 2015-01-26 |
| 1346305901 | Michael J. Greenberg | Social Worker | 1305 Middle Country Rd, Suite 7, Selden, NY 11784-2554 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 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 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.