Individual provider Active NPI

Sarah Ruth Sullivan-Davis, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1528629334
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56883 Issued in TX
Practice address
6500 Rookin St Ste 200
Houston, TX 77074-5019
Phone
(832) 548-5000
NPI assigned
Jun 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 56883 TX Primary

Addresses

Primary practice location

6500 Rookin St Ste 200
Houston, TX 77074-5019

Mailing address

PO Box 66308
Houston, TX 77266-6308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190730001719 TX Practitioner - Clinical Social Worker 9335475268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

6500 Rookin St
Suite 200
Houston, TX 77074-5019
Phone (713) 351-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56883TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Aug 12, 2019 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Aug 12, 2019 Accepting new patients

Locations

6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350

6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1528629334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROOKIN ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745019",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-DAVIS",
        "first_name": "SARAH",
        "middle_name": "RUTH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.