Active NPI
Amanda L Sullivan, LMHP, CMSW
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1447483458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1528
- Practice address
- 770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377 - Phone
- (402) 937-9607
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4343 | NE | |
| Clinical Social Worker | 1041C0700X | 1528 | NE | Primary |
Addresses
Primary practice location
770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377
Mailing address
770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377
Phone (402) 937-9607
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4343 | NE | MD | Mental Health Counselor |
| 1528 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1447483458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD STE 330",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052377",
"telephone_number": "402-937-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD STE 330",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052377",
"telephone_number": "402-937-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "AMANDA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMHP, CMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4343",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.