Nancy Jane Sullivan, LCSW, MSW, MED

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004150 Issued in WA

Practice address

1800 Cooper Point Rd SW
Building 24B
Olympia, WA 98502-1178

Phone

(360) 786-1195

NPI assigned

Aug 25, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316930282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 8TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025216",
            "telephone_number": "360-754-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BUILDING 24B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-786-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM MEDICAL PLAN",
            "identifier": "1263101000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007652345",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Braddock Sullivan
• George Sullivan, C.A.R. L.M.P.
• Grace Mary Sullivan
• Jessica L Sullivan, LMT
• Kaden Sullivan, MSW, LSWAIC
• Timothy W Sullivan
• Vicki B Sullivan, OTR/L, CHT
• Wendy Sullivan, LMP
• Sanghamitra Suman
• Theresa C Summer, LPC, NCC

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.