Nancy a. Sullivan, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

075477 Issued in NY

Legal business name

NANCY A. SULLIVAN, LCSW

Practice address

159-13 Horace Harding Expressway
Fresh Meadows, NY 11365

Phone

(917) 751-5952

Fax

(718) 460-5488

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Anne Sullivan, LCSWNPI 1619112828

Title

President

Phone

(917) 751-5952

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spectrum Clinical Services and Consulting LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Anne Sullivan, LCSW

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1619112828
  NPD (past) Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1285076414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159-13 HORACE HARDING EXPRESSWAY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "917-751-5952",
            "fax_number": "718-460-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159-13 HORACE HARDING EXPRESSWAY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "917-751-5952",
            "fax_number": "718-460-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A. SULLIVAN, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-751-5952",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "075477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Clinical Services and Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N & Z Health
• N&a 18 Inc
• Michelle Nadav
• Michal Namatiev, M.A.
• Nancy a Sullivan, LCSW PLLC
• Barbara Nangle, MSED
• Irina Tabak Nattis
• Diana C Navia, MSED
• NCR Queens Urge Care International LLC
• Howard Neiman, PH.D.

• Community/Behavioral Health Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.