Active NPI
Michael Sullivan, MSW, Inc.
- Clinical Social Worker
- Billings, MT
National Provider Identifier
1063567493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 192
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0501046 | Medicaid | MT | |
| 7082-0 | Other | MT | BCBS |
| A796094 | Other | MT | VALUE OPTIONS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Billings, MT
- NPI 1679939482
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.