Maureen Mary Sullivan, MSW, CSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044185-1 Issued in NY

Practice address

582 New Loudon Rd
Latham, NY 12110-4029

Phone

(518) 783-6059

Fax

(518) 783-4793

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steven E Fox Inc

  • Community/Behavioral Health Agency
  • Valatie, NY
  • NPI 1982985925
  NPD (past)
• William J Feeney MD PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1679565659
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407057326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104029",
            "telephone_number": "518-783-6059",
            "fax_number": "518-783-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104029",
            "telephone_number": "518-783-6059",
            "fax_number": "518-783-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MAUREEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Edward Streeter, RPA-C
• Matthew Thompson Stringer, D.O.
• Debra J Strohmaier, LOD
• Amanda Student, LCSW, DSW
• Brendan Sullivan, PT
• Rodelin Mendoza Sumiran, FNP-BC
• Diane Sweeney, PT
• Kayleigh M Sweet
• Bridget Catherine Swezey, M.S, CCC-SLP
• Allison Swiatowicz, LMHC

• Clinical Social Worker in Latham, NY
• Providers in Latham, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.