Individual provider Active NPI

Conor B Sullivan, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1033933858
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22485 Issued in AZ
Practice address
1600 W Chandler Blvd Ste 120
Chandler, AZ 85224-6100
Phone
(240) 743-7869
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-22485 AZ Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 120
Chandler, AZ 85224-6100

Mailing address

1600 W Chandler Blvd Ste 120
Chandler, AZ 85224-6100
Phone (240) 743-7869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20241223001561 AZ Practitioner - Clinical Social Worker 4082141593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22485AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teris Health Services LLC Current Accepting new patients
Teri'S Health Services CurrentSince Dec 18, 2024 Accepting new patients
CB Growth Mindset LLC Clinical Current Accepting new patients
Oceanbee Wellness, LLC Clinical PastSince Dec 8, 2024 Accepting new patients

Locations

1600 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (240) 743-7869

6635 W Happy Valley Rd
Ste A104621
Glendale, AZ 85310

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 358-7073

8350 E Raintree Dr
Ste 120
Scottsdale, AZ 85260
Phone (480) 459-4926

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJCACD/Endpoint/GJCACD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1033933858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 120",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "240-743-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 120",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246100",
            "telephone_number": "240-743-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CONOR",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.