Jaimie Elizabeth Sullivan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801122888 Issued in MI

Practice address

1516 Fremont Ave NW
Grand Rapids, MI 49504-3020

Phone

(586) 907-4369

NPI assigned

May 15, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1356907372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 FREMONT AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043020",
            "telephone_number": "586-907-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 FREMONT AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043020",
            "telephone_number": "586-907-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAIMIE",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801122888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan James Sullivan, DPT
• Dorie Sullivan
• Emma Sullivan
• Hannah C Sullivan, LMSW, LMFT
• Herman Sullivan, MD
• Jessie Lynn Sullivan, NP
• Joan Marie Sullivan, PAC
• Liam R. Sullivan, DO
• Megan Sullivan, LMSW
• Pia Sullivan

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.