NPIMap

Organization Active NPI

Gabrielle Sullivan LLC

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1215548748
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GABRIELLE SULLIVAN LLC
Practice address
2900 S 70TH St Ste 160
Lincoln, NE 68506-3733
Phone
(402) 995-9277
Fax
(402) 477-8284
NPI assigned
Aug 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Gabrielle Elizabeth Sullivan, LICSW, LIMHP, CMSW
Title
Psychotherapist
Phone
(402) 995-9277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2900 S 70TH St Ste 160
Lincoln, NE 68506-3733

Mailing address

2900 S 70TH St Ste 160
Lincoln, NE 68506-3733
Phone (402) 995-9277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1215548748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST STE 160",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063733",
            "telephone_number": "402-995-9277",
            "fax_number": "402-477-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST STE 160",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063733",
            "telephone_number": "402-995-9277",
            "fax_number": "402-477-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE SULLIVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "402-995-9277",
        "authorized_official_credential": "LICSW, LIMHP, CMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.