Individual provider Active NPI

Rosemary Irene Sullivan, L.C.S.W.

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1073870770
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3681 Issued in FL
Practice address
555 NE 34TH St
#2504
Miami, FL 33137-4022
Phone
(305) 573-1551
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 SW3681 FL Primary

Addresses

Primary practice location

555 NE 34TH St
#2504
Miami, FL 33137-4022

Mailing address

555 NE 34TH St
#2504
Miami, FL 33137-4022
Phone (305) 573-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saluscare, Inc. CurrentSince Aug 15, 2023 Accepting new patients

Locations

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

Organizations & group practices 1

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1073870770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NE 34TH ST",
            "address_2": "#2504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374022",
            "telephone_number": "305-573-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NE 34TH ST",
            "address_2": "#2504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374022",
            "telephone_number": "305-573-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROSEMARY",
        "middle_name": "IRENE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.