REBECCA SULLIVAN (NPI# 1740367291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740367291 |
| Entity Type | Individual |
| Full Name | REBECCA SULLIVAN |
| Credential | LCSW |
| Practice Address |
615 N 18th St Suite 101 Lafayette IN 47904-3410 |
| Practice Telephone | 7654235361 |
| Practice Fax Number | 7657428272 |
| Mailing Telephone | 7654235361 |
| Mailing Fax Number | 7657428272 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34003487 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PROVIDER NUMBER | 251500A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447702063 | Rebecca Kaye Sullivan | Social Worker | 1315 2nd St Sw Ste 203, Roanoke, VA 24016-4935 | 2016-10-31 |
| 1598826919 | Rebecca A. Sullivan | Registered Nurse | 532 West Pittsburgh Street, Greensburg, PA 15601 | 2006-12-12 |
| 1962908830 | Rebecca Marie Sullivan | Counselor | 330 N Gore Ave, Webster Groves, MO 63119-1600 | 2018-04-01 |
| 1922469212 | Rebecca L Sullivan | Counselor | 66 N Main St, Branford, CT 06405-3032 | 2016-03-14 |
| 1043654577 | Rebecca Jeanne Sullivan | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2013-04-26 |
| 1588969232 | Rebecca Sullivan | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2011-01-11 |
| 1023340049 | Rebecca Sullivan | Licensed Practical Nurse | 1000 S Main St, Florence, AZ 85132-8132 | 2010-02-01 |
| 1548444839 | Rebecca Joy Sullivan | Community Health Worker | 1815 Stockton Blvd, Sacramento, CA 95816-6653 | 2007-12-21 |
| 1639256944 | Rebecca S Sullivan | Nurse Anesthetist, Certified Registered | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2006-11-01 |
| 1083639421 | Rebecca Oyler Sullivan | Registered Nurse | 100 Peyton Way, Ste 200, Charleston, WV 25309-8767 | 2006-07-13 |
| Street Address |
615 N 18TH ST SUITE 101 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124420757 | Family Services, Inc. | Community/Behavioral Health | 615 N 18th St, Lafayette, IN 47904-3410 | 2014-09-26 |
| 1033470356 | Tessa Garrow | Counselor | 615 N 18th St, Lafayette, IN 47904-3410 | 2012-06-04 |
| 1841559051 | Brianne L. Heyde Schutter | Marriage & Family Therapist | 615 N 18th St, Suite 201, Lafayette, IN 47904-3434 | 2012-05-08 |
| 1235409459 | Annette Garry Brehm | Counselor | 615 N 18th St, Lafayette, IN 47904-3434 | 2012-01-04 |
| 1982984670 | Jennifer Racich | Student in an Organized Health Care Education/Training Program | 615 N 18th St, Howarth Center, Suite 201, Lafayette, IN 47904-3434 | 2011-08-25 |
| 1053546143 | Mary Teresa Francisco | Counselor | 615 N 18th St, Lafayette, IN 47904-3434 | 2009-05-19 |
| 1689835597 | Gokce Bulgan | Student in an Organized Health Care Education/Training Program | 615 N 18th St, Howarth Center, Suite 201, Lafayette, IN 47904-3434 | 2008-06-23 |
| 1053501957 | Shannon Dale Polmateer | Counselor | 615 N 18th St, Suite 201, Lafayette, IN 47904 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
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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.