DEBORAH SULLIVAN (NPI# 1629097902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629097902 |
| Entity Type | Individual |
| Full Name | DEBORAH SULLIVAN |
| Credential | MS |
| Practice Address |
675 W Washington Ave Madison WI 53703-2637 |
| Mailing Address |
1265 John Q Hammons Dr Madison WI 53717-1941 |
| Practice Telephone | 6082579700 |
| Mailing Telephone | 6082514156 |
| Mailing Fax Number | 6082573842 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 916 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39203600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950152 | Deborah Hall Sullivan | Registered Nurse | 1000 Sanger Ave, Oceanport, NJ 07757-1241 | 2018-04-29 |
| 1275968927 | Deborah Mae Sullivan | Case Manager/Care Coordinator | 190 Mossy Oak Cir, North Augusta, SC 29841-3093 | 2013-09-12 |
| 1639419633 | Deborah Sullivan | Speech-Language Pathologist | 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 | 2013-02-27 |
| 1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
| 1487643201 | Deborah Ann Sullivan | Genetic Counselor, MS | 182 Colon Ave, Staten Island, NY 10308-1405 | 2005-10-14 |
| 1023018900 | Deborah A Sullivan | Nurse Practitioner | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2005-07-21 |
| 1730720327 | Deborah Sheryl Sullivan | Psychologist | 1384 Kempsville Rd, Norfolk, VA 23502-2299 | 2019-10-04 |
| 1699236224 | Deborah Katherine Sullivan | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-03-27 |
| 1164816716 | Deborah Sullivan | Nurse Practitioner | 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 | 2015-03-22 |
| 1053740142 | Deborah Sullivan | Speech-Language Pathologist | 415 6th St, Lewiston, ID 83501-2431 | 2013-11-08 |
| Street Address |
675 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481699 | Patricia Ruth Witte | Family Medicine | 675 W Washington Ave, Madison, WI 53703-2637 | 2005-10-14 |
| 1386125656 | Sara Camacho | Counselor | 675 W Washington Ave, Madison, WI 53703-2637 | 2018-08-24 |
| 1407340177 | Rebekah Lynn Steidinger | Physical Therapist | 675 W Washington Ave, Madison, WI 53703-2637 | 2018-06-18 |
| 1972012284 | Sarah Henson | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-09-29 |
| 1356867006 | Kyoko Felland | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-08-15 |
| 1255860318 | Kaitlin Alexandra Kamer | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-06-12 |
| 1831628825 | Shane Berken | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-06-05 |
| 1659810109 | Jillian Utschig | Pharmacist | 675 W Washington Ave, Madison, WI 53703-2637 | 2017-02-16 |
| 1922542760 | Amanda Grace Slawter | Social Worker | 675 W Washington Ave, Madison, WI 53703-2637 | 2016-12-13 |
| 1922470673 | Sarah Spolum | Physician Assistant | 675 W Washington Ave, Madison, WI 53703-2637 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| 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 |
|---|---|---|---|---|
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1780297572 | Qyonna I. Grady | Social Worker | 106 Cotton Boll Dr Nw, Madison, AL 35757-6948 | 2020-08-31 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1205452083 | Alisa Pratt | Social Worker | 607 W Due West Ave Ste 107, Madison, TN 37115-4420 | 2020-06-17 |
| 1336789288 | David Earl Bess | Social Worker | 8 Lynwood Pl, Madison, NJ 07940-1117 | 2020-01-08 |
| 1396396172 | Janeah Weaver | Social Worker | 255 N Main St Ste D, Madison, GA 30650-1390 | 2019-09-24 |
| 1205498961 | Kelsey Michele Huff | Social Worker | 1434 Florence Ave, Madison, TN 37115-2417 | 2019-07-02 |
| 1790345288 | Peter Edward Doria | Social Worker | 11 Woodland Rd Ste 2, Madison, CT 06443-2380 | 2019-06-17 |
| Find all providers in MADISON | ||||
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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.