LAURIE SULLIVAN (NPI# 1740761931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740761931 |
| Entity Type | Individual |
| Full Name | LAURIE SULLIVAN |
| Other Name | LAURIE MCKEAN |
| Credential | LICSW |
| Practice Address |
112 Industry Ave Springfield MA 01104-3349 |
| Practice Telephone | 4132050501 |
| Mailing Telephone | 4132050501 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1030508 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524778 | Laurie Lucker Sullivan | Speech-Language Pathologist | 801 N 11th St Fl 2, Dept. of Special Education, Saint Louis, MO 63101-1015 | 2012-10-26 |
| 1831407659 | Laurie Ann Sullivan | Massage Therapist | 21860 Willamette Dr, West Linn, OR 97068-3256 | 2010-09-14 |
| 1609066935 | Laurie Sullivan | Social Worker | 14 Loon Hill Rd, Dracut, MA 01826-4015 | 2007-08-01 |
| 1659491652 | Laurie Ann Sullivan | Counselor | 3937 Main St, Brewster, MA 02631-1592 | 2007-03-31 |
| 1073529582 | Laurie Sullivan | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2006-08-01 |
| 1326085192 | Laurie Ann Sullivan | Nurse Anesthetist, Certified Registered | 990 Tamiami Trl N, Naples, FL 34102-5403 | 2006-06-01 |
| 1326003047 | Laurie Eileen Sullivan | Nurse Practitioner | 3 Gates Cir, Buffalo, NY 14209-1120 | 2006-04-18 |
| Street Address |
112 INDUSTRY AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| 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 |
|---|---|---|---|---|
| 1912513193 | Abigayle Anastasia Augustus | Social Worker | 161 Saffron Cir, Springfield, MA 01129-1514 | 2020-09-22 |
| 1063034742 | Ann Sarah Engel | Social Worker | 2101 E Watch Ave Apt 6, Springfield, IL 62702-6802 | 2020-05-15 |
| 1225670912 | Barbara A Otto | Social Worker | 3047 Willow Rd, Springfield, OH 45502-9073 | 2019-10-14 |
| 1326697509 | Nathalie Orelien | Social Worker | 267 Beacon Cir, Springfield, MA 01119-2047 | 2019-09-10 |
| 1306401617 | Laurie T Lauture-best | Social Worker | 25 Laurence St, Springfield, MA 01104-2607 | 2019-05-02 |
| 1881157121 | Amber Renee Hartman Ortez | Social Worker | 1514 S Fountain Ave, Springfield, OH 45506-2718 | 2019-04-12 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1427546076 | Terrisue Jean Malone | Social Worker | 1918 Mechanicsburg Rd Apt Suite, Springfield, OH 45503-3147 | 2018-04-30 |
| 1487142758 | Alyssa Merrick | Social Worker | 832 Chestnut St, Springfield, MA 01107-1168 | 2018-04-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on LAURIE SULLIVAN.
| 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.