MS. MAUREEN MARY SULLIVAN (NPI# 1407057326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407057326 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN MARY SULLIVAN |
| Credential | MSW, CSW-R |
| Practice Address |
582 New Loudon Rd Latham NY 12110-4029 |
| Practice Telephone | 5187836059 |
| Practice Fax Number | 5187834793 |
| Mailing Telephone | 5187836059 |
| Mailing Fax Number | 5187834793 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R044185-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447765854 | Maureen Rose Sullivan | Counselor | 32 Linden St, Braintree, MA 02184-2033 | 2017-12-07 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1033411632 | Maureen Sullivan | Registered Nurse | 28-11 Queens Plaza, Lic, NY 11101 | 2010-12-02 |
| 1447572748 | Maureen Sullivan | Nurse Practitioner | 4886 Clifton Pkwy, Hamburg, NY 14075-3302 | 2010-02-27 |
| 1760629075 | Maureen Ann Sullivan | Speech-Language Pathologist | 1714 Watson Ct, Carlsbad, NM 88220-4172 | 2009-01-09 |
| 1871768226 | Maureen Michele Sullivan | Chiropractor | 200 Seabrook Rd, Tequesta, FL 33469-3032 | 2008-04-28 |
| 1679753610 | Maureen Anne Sullivan | Licensed Practical Nurse | 105 Krystal Dr, Somers, NY 10589-3038 | 2007-11-07 |
| 1912128836 | Maureen A. Sullivan | Psychologist | 118 N Murray Hall, Stillwater, OK 74078-3064 | 2007-05-01 |
| 1487783866 | Maureen N Sullivan | Physical Therapist | 62 Knollwood Ave, Huntington, NY 11743-3430 | 2007-03-03 |
| 1104892835 | Maureen L Sullivan | Radiology | 8300 W Sunrise Blvd, Plantation, FL 33322-5406 | 2006-02-23 |
| Street Address |
582 NEW LOUDON RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146364 | William J Feeney | Internal Medicine | 582 New Loudon Rd, Latham, NY 12110-4029 | 2005-07-05 |
| 1306181961 | St Peters Health Partners Medical Associates, PC | Nurse Practitioner | 582 New Loudon Rd, Latham, NY 12110-4029 | 2012-12-07 |
| 1467638320 | Albany Health Management Associates, Inc. | Specialist | 582 New Loudon Rd, Latham, NY 12110-4029 | 2008-01-10 |
| 1720286859 | Nancy J Koltko | Social Worker | 582 New Loudon Rd, Latham, NY 12110-4029 | 2007-07-10 |
| 1124248125 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 582 New Loudon Rd, Latham, NY 12110-4029 | 2007-05-01 |
| 1598897662 | Patricia A. Fennell | Social Worker | 582 New Loudon Rd, Latham, NY 12110-4029 | 2007-03-12 |
| 1588750186 | Frank J Fera | Internal Medicine | 582 New Loudon Rd, Latham, NY 12110-4029 | 2006-10-04 |
| 1679565659 | William J Feeney Md Pllc | Pediatrics | 582 New Loudon Rd, Latham, NY 12110-4029 | 2005-08-17 |
| 1275525370 | Rorick T Rimash | Internal Medicine | 582 New Loudon Rd, Latham, NY 12110-4029 | 2005-08-16 |
| 1619977949 | Kathleen M Marshall | Nurse Practitioner | 582 New Loudon Rd, Latham, NY 12110-4029 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| 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 |
|---|---|---|---|---|
| 1205196839 | Aimee O'keefe | Social Worker | 15 Brookwood Dr, Latham, NY 12110-3628 | 2012-05-16 |
| 1073817672 | Emily Smith | Social Worker | 26 Century Hill Dr Ste 205, Latham, NY 12110 | 2010-12-22 |
| 1922106756 | Robert John Vanzetta | Social Worker | 9 Herbert Dr, Latham, NY 12110-3818 | 2006-09-20 |
| 1174584973 | Mary F Smith | Social Worker | 3 Lear Jet Ln, Latham, NY 12110-2314 | 2006-03-31 |
| 1699735761 | Dorothy Jean Pasciuto | Social Worker | 3 Lear Jet Lane, Ste 105, Behavioral Health Specialists, Pllc, Latham, NY 12110 | 2006-03-24 |
| 1619940319 | Estelle Arietta Giles-monroe | Social Worker | 20 Century Hill Drive, Suite 202, Latham, NY 12110-2314 | 2006-02-12 |
| 1265404636 | Mary Theresa Sise | Social Worker | 596 New Loudon Rd, Latham, NY 12110-4024 | 2006-02-01 |
| 1790398444 | Jessica Davey | Social Worker | 4 Avis Dr Ste 101, Latham, NY 12110-2650 | 2020-08-24 |
| 1063915783 | Barry Davis | Social Worker | 4 Avis Dr Ste 100, Latham, NY 12110-2650 | 2018-03-09 |
| 1669796017 | Terra Sentiwany Stone | Social Worker | 636 New Loudon Rd, Latham, NY 12110-4002 | 2010-03-15 |
| Find all providers in LATHAM | ||||
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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.