Amanda L Sullivan, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMANDA L SULLIVAN, PC

Practice address

770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377

Phone

(402) 904-4067

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Amanda L Sullivan, LMHP, CMSW

Title

President

Phone

(402) 432-0679

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1497005805",
    "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": "402-904-4067"
        },
        {
            "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": "402-904-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA L SULLIVAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-432-0679",
        "authorized_official_credential": "LMHP, CMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cindy Ambler
• Adrianna Guadalupe Maria Ambrocio

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.