Laura M. Sullivan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072927-1 Issued in NY

Practice address

14014 State Route 31
Albion, NY 14411-9301

Phone

(585) 589-7066

Fax

(585) 589-6395

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306904750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 ROUTE 31",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111498",
            "telephone_number": "585-589-7066",
            "fax_number": "585-589-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 STATE ROUTE 31",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119301",
            "telephone_number": "585-589-7066",
            "fax_number": "585-589-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072927-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00072927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan M Spencer, DDS
• State of New York Office of State Comptroller
• Kaitlin Stewart
• Bridget Amy Stopa, PHYSICAL THERAPIST A
• Jessica Suleski
• Jean Swiercznski, RN
• Anthony Paul Terrore, CCC-SLP
• Alyssa Marie Thomas, LMHC
• Colleen Marie Thompson, MS.ED.
• Lisa Marie Thrash

• Clinical Social Worker in Albion, NY
• Providers in Albion, NY by specialty
• Clinical Social Worker in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.