NANCY ANNE SULLIVAN (NPI# 1619112828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619112828 |
| Entity Type | Individual |
| Full Name | NANCY ANNE SULLIVAN |
| Other Name | NANCY ANNE WATTS |
| Credential | LCSW |
| Practice Address |
9729 64th Rd Rego Park NY 11374-2240 |
| Mailing Address |
15913 Horace Harding Expy Flushing NY 11365-1424 |
| Practice Telephone | 7188963400 |
| Practice Fax Number | 7184595621 |
| Mailing Telephone | 9175752344 |
| Mailing Fax Number | 7182621447 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
075477 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00244019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215952759 | Nancy Elizabeth Sullivan | Clinical Neuropsychologist | 2555 Park Blvd, Suite 20, Palo Alto, CA 94306-1924 | 2006-07-13 |
| 1316930282 | Nancy Jane Sullivan | Social Worker | 1800 Cooper Point Rd Sw, Building 24b, Olympia, WA 98502-1178 | 2005-08-25 |
| 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 |
| 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 |
9729 64TH RD |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285673376 | Carl Jay Rosenmann | Internal Medicine | 9729 64th Rd, Rego Park, NY 11374-2240 | 2006-06-05 |
| 1841644788 | Alexis Rigby | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2016-04-18 |
| 1952766479 | Denise Baird | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2015-12-28 |
| 1649656547 | Francesca Patino | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2015-08-03 |
| 1285018374 | Brian Davis | Social Worker | 9729 64th Rd, Ste 1fl, Rego Park, NY 11374-2259 | 2015-07-17 |
| 1437536745 | Mindy Weinblatt | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2015-05-06 |
| 1821493255 | Lazaro Horacio Valdes | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2014-10-28 |
| 1629484688 | Jenna Principato | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2014-07-10 |
| 1407262991 | Alyson Rose Koonin | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2014-07-07 |
| 1801207675 | Gina E. Jones | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2259 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| 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 |
|---|---|---|---|---|
| 1861009433 | Michelle M. Justiniano | Social Worker | 9310 Queens Blvd Apt 6a, Rego Park, NY 11374-1105 | 2020-09-28 |
| 1437791316 | Flora Ma | Social Worker | 6350 Wetherole St Apt 1e, Rego Park, NY 11374-2914 | 2019-10-12 |
| 1366946972 | Oscar David Messer | Social Worker | 6333 98th Pl Apt 2b, Rego Park, NY 11374-2317 | 2018-03-19 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1588027221 | Ema Avezova | Social Worker | 6393 Woodhaven Blvd, Apt#4c, Rego Park, NY 11374-4843 | 2016-03-31 |
| 1144610460 | Kristina Krause | Social Worker | 6210 Ellwell Cres, Rego Park, NY 11374-4838 | 2015-01-26 |
| 1710305263 | Sylvia Jaeger | Social Worker | 94-10 64th Road, Apt C-5, Rego Park, NY 11374 | 2014-04-02 |
| 1902123136 | Elizabeth Bassano | Social Worker | 98120 Queens Blvd Ste 1c, A Comprehensive Counseling Center C/o Mary Butner, Rego Park, NY 11374-4311 | 2010-04-28 |
| 1235382797 | Gladys Neida Roman | Social Worker | 6515 Alderton St Apt 4f, Rego Park, NY 11374-5001 | 2008-10-28 |
| 1295908812 | Noelina Arciniegas | Social Worker | 6504 Booth St Apt 5d, Rego Park, NY 11374-4027 | 2008-04-03 |
| Find all providers in REGO PARK | ||||
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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.