Laura Marie Sullivan, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X05080 Issued in NM

Practice address

9 Carlito Rd
Santa Fe, NM 87508-8784

Phone

(505) 466-4896

NPI assigned

Dec 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114904778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CARLITO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088784",
            "telephone_number": "505-466-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CARLITO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088784",
            "telephone_number": "505-466-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989695",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X05080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier R Suarez
• Success Smiles Orthodontics Santa Fe
• Sudha Rani Kailas LLC (Holistic Psychiatry)
• E Dow Suhre, MD
• Shawn Elliot Sulak, D.N.
• Matthew Sullivan
• Noreen M Sullivan, D.C.
• P. Alexander Sullivan, L.M.T. 2569
• Sally Sullivan, LMHC
• Spirit Sullivan, RDH

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.