KIMBERLY PAIGE SULLIVAN (NPI# 1497244511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497244511 |
| Entity Type | Individual |
| Full Name | KIMBERLY PAIGE SULLIVAN |
| Credential | LMSW |
| Practice Address |
445 Winn Way Decatur GA 30030-1707 |
| Mailing Address |
616 N Highland Ave Ne Apt 4a Atlanta GA 30306-4548 |
| Practice Telephone | 4045087700 |
| Mailing Telephone | 4235038633 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW008007 | GA | 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 |
| 1417468893 | Kimberly Marie Sullivan | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2017-10-12 |
| 1174070510 | Kimberly Ann Sullivan | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2016-09-01 |
| 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 |
445 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276467 | Aweh Support | Social Worker | 3498 Brycewood Dr, Decatur, GA 30034-6264 | 2020-02-06 |
| 1992342638 | Kuyom R Davenport | Social Worker | 2459 Candler Rd, Decatur, GA 30032-6400 | 2019-12-02 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1801393103 | Albert Leon Phillips Jr. | Social Worker | 2741 Glenvalley Dr, Decatur, GA 30032-4207 | 2018-04-12 |
| 1578091013 | Giovanna Farnum | Social Worker | 440 Winn Way Fl 3, Decatur, GA 30030-1715 | 2017-05-29 |
| 1124562475 | Catherine Berry Moon | Social Worker | 317 W Hill St Ste 203b, Decatur, GA 30030 | 2016-12-06 |
| 1871047720 | Breanna Kelly | Social Worker | 4026 Birchwood Cv, Decatur, GA 30034-5251 | 2016-08-09 |
| 1053791335 | Sherri Cohen | Social Worker | 255 Grant St Se, Ste 303, Decatur, AL 35601-2505 | 2015-06-02 |
| 1669875423 | Tigilayo Fadahunsi | Social Worker | 10301 Jefferson Square Ct, Decatur, GA 30030-1740 | 2014-10-07 |
| 1255733028 | Cherissa Mcconnell | Social Worker | 407 Park West Ct, Decatur, TX 76234-3264 | 2014-09-23 |
| Find all providers in DECATUR | ||||
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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.