Organization Active NPI

Michael Sullivan, MSW, Inc.

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1063567493
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
192 Issued in MT
Legal business name
MICHAEL SULLIVAN, MSW, INC.
Practice address
304 Grand Ave
Billings, MT 59101
Phone
(406) 245-4566
Fax
(406) 245-2441
NPI assigned
Jan 24, 2007
Last updated
Sep 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Ms. Diane Lynn Sullivan
Title
Business Manager
Phone
(406) 861-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 192 MT Primary

Addresses

Primary practice location

304 Grand Ave
Billings, MT 59101

Mailing address

304 Grand Ave
Billings, MT 59101-5923
Phone (406) 861-6389

Other identifiers 3

IdentifierTypeStateIssuer
0501046MedicaidMT
7082-0OtherMTBCBS
A796094OtherMTVALUE OPTIONS

National Provider Directory

National Provider Directory

Locations

304 Grand Ave
Billings, MT 59101
Phone (406) 245-4566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1063567493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015923",
            "telephone_number": "406-861-6389",
            "fax_number": "406-245-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59101",
            "telephone_number": "406-245-4566",
            "fax_number": "406-245-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SULLIVAN, MSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "406-861-6389",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501046",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7082-0",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A796094",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.