Individual provider Active NPI

Lorraine Julie Cragan-Sullivan, LMSW

  • Social Worker
  • Greenville, SC
National Provider Identifier
1427719350
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9885 Issued in SC
Practice address
205 Farrs Bridge Rd
Greenville, SC 29617-1905
Phone
(864) 475-9938
Fax
(864) 568-3938
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9885 SC Primary

Addresses

Primary practice location

205 Farrs Bridge Rd
Greenville, SC 29617-1905

Mailing address

205 Farrs Bridge Rd
Greenville, SC 29617-1905
Phone (864) 475-9938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lorraine@bloombehavioraltherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9885SCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1427719350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171905",
            "telephone_number": "864-475-9938",
            "fax_number": "864-568-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171905",
            "telephone_number": "864-475-9938",
            "fax_number": "864-568-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGAN-SULLIVAN",
        "first_name": "LORRAINE",
        "middle_name": "JULIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lorraine@bloombehavioraltherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 Farrs Bridge Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296171905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.