Individual provider Active NPI

Taylor Sullivan, MSW

  • Social Worker
  • St George, UT
National Provider Identifier
1528750239
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13216799-3502 Issued in UT
Practice address
230 N 1680 E Ste D1
St George, UT 84790-2576
Phone
(435) 705-9571
Fax
(435) 922-0778
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 13216799-3502 UT Primary

Addresses

Primary practice location

230 N 1680 E Ste D1
St George, UT 84790-2576

Mailing address

230 N 1680 E Ste D1
St George, UT 84790-2576
Phone (435) 705-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20260608002026 UT Practitioner - Clinical Social Worker 6305317660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 N 1680
Suite D1
St George, UT 84790-2576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13216799-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nichole Rammell Counseling Services CurrentSince Jun 18, 2023 Accepting new patients

Locations

230 N 1680 E
Ste D1
St George, UT 84790
Phone (435) 610-1696

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1528750239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE D1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902576",
            "telephone_number": "435-705-9571",
            "fax_number": "435-922-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE D1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902576",
            "telephone_number": "435-705-9571",
            "fax_number": "435-922-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TAYLOR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "13216799-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.