DIAN SULLIVAN (NPI# 1720044084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720044084 |
| Entity Type | Individual |
| Full Name | DIAN SULLIVAN |
| Credential | LCSW |
| Practice Address |
800 Broadway Suite 315 Fort Wayne IN 46802-2149 |
| Practice Telephone | 2604896030 |
| Practice Fax Number | 2604895536 |
| Mailing Telephone | 2604896030 |
| Mailing Fax Number | 2604895536 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 34001106A | IN | Behavioral Health & Social Service Providers |
| Street Address |
800 BROADWAY SUITE 315 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568085 | Chik Amechi | Obstetrics & Gynecology | 800 Broadway, Ste 315, Fort Wayne, IN 46802-2149 | 2005-06-21 |
| 1255750352 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 800 Broadway, Ste 215, Fort Wayne, IN 46802-2149 | 2014-04-16 |
| 1508287723 | Bree Murua-cuney | Counselor | 800 Broadway, Suite 111, Fort Wayne, IN 46802-2149 | 2013-12-16 |
| 1285988360 | Linda Hake | Counselor | 800 Broadway, Fort Wayne, IN 46802-2149 | 2012-10-29 |
| 1902067598 | Beryl L Randolph,m.d., P.C. | Obstetrics & Gynecology | 800 Broadway, Suite 100, Fort Wayne, IN 46802-2149 | 2008-06-17 |
| 1154580918 | Smitha Patibandla | Psychiatry & Neurology | 800 Broadway, Suite 315, Fort Wayne, IN 46802-2149 | 2008-06-06 |
| 1316119316 | Shashi K Ahuja M.d. | Internal Medicine | 800 Broadway, Suite 300, Fort Wayne, IN 46802-2149 | 2008-03-31 |
| 1194913228 | Psychiatric Services P C | Psychiatry & Neurology | 800 Broadway, Ste 208, Fort Wayne, IN 46802-2149 | 2007-10-15 |
| 1215080692 | Fort Wayne Cardiovascular Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 Broadway, Suite 201, Fort Wayne, IN 46802-2149 | 2007-01-19 |
| 1508960774 | Orl PC | Otolaryngology | 800 Broadway, Ste 207, Fort Wayne, IN 46802-2149 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| 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 |
|---|---|---|---|---|
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1801407689 | Hand Along The Way, LLC | Social Worker | 4118 Sandhurst Dr, Fort Wayne, IN 46815-5430 | 2020-08-13 |
| 1588200604 | Shalynn Grace Bailey | Social Worker | 2625 Medford Dr, Fort Wayne, IN 46803-3132 | 2019-11-24 |
| 1912363375 | Jay Alan Bastian | Social Worker | 5004 Woodhurst Blvd, Fort Wayne, IN 46807-3134 | 2016-01-14 |
| 1669757225 | Denise Jensen | Social Worker | 12306 Goldeneyes Ct, Fort Wayne, IN 46845-9160 | 2011-10-14 |
| 1679743033 | Sandra Ellen Chauhan | Social Worker | 8708 Woodstream Dr, Fort Wayne, IN 46804-6564 | 2008-03-01 |
| 1184815102 | James Scott Ferraro | Social Worker | 12527 Carroll Creek Run, Fort Wayne, IN 46818-8780 | 2007-08-06 |
| 1487870531 | Michelle A. Hoffman | Social Worker | Lutheran Hospital- Social Services, 7950 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2007-04-17 |
| 1417083486 | Deborah Mcculloch | Social Worker | 3737 Lake Ave, Fort Wayne, IN 46805-5554 | 2007-02-26 |
| 1063432425 | Diana Lynn Pierce | Social Worker | 10305 Dawsons Creek Blvd Ste C, Fort Wayne, IN 46825-1914 | 2006-07-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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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.