Richard Michael Sullivan, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040746-1 Issued in NY

Practice address

1662 Route 300 Ste 150
Newburgh, NY 12550-1819

Phone

(845) 542-4416

NPI assigned

Aug 29, 2006

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin Ogulnick, PH.D.

  • Psychologist
  • Newburgh, NY
  • NPI 1457321416
  Medicare reassignment
• Orange Counseling Associates

  • Community/Behavioral Health Agency
  • Newburgh, NY
  • NPI 1235514019
  NPD (past)
• Valley Behavioral Medicine, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goshen, NY
  • NPI 1881602852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1023127651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HUGUENOT ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611414",
            "telephone_number": "845-542-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 ROUTE 300 STE 150",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501819",
            "telephone_number": "845-542-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040746-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03199608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Stropoli, FNP-BC
• Khaled H Suleiman, PHARMD
• Daniel Sullivan
• Kailee Elizabeth Sullivan, PT, DPT
• Meagan Sullivan
• Sunshine Adult Social Day Care Inc.
• Katie Surdam
• Suchith Boodgere Suresh
• Shivani Rajeshkumar Suthar, PT
• Stanley Swaby

• Clinical Social Worker in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.