Erin Sullivan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88400 Issued in CA

Practice address

22245 Main St Ste 200
Hayward, CA 94541-4028

Phone

(510) 727-9401

NPI assigned

Oct 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childrens Friend and Families

  • Community/Behavioral Health Agency
  • Lynn, MA
  • NPI 1336439421
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1578991899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22245 MAIN ST STE 200",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22245 MAIN ST STE 200",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414028",
            "telephone_number": "510-727-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Market St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011125",
            "country_code": "US",
            "telephone_number": "781-593-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucretia Navelle Sudduth-Jordan
• David Suginohara
• Catherine Suh, D.M.D.
• Seung Hwan Suh
• Agatha Suk
• Tarana Sultani
• Sunita Suman
• Summerville at Cobbco, Inc. (Emeritus at Landmark Villa)
• Diane Ruolin Sun, M.D.
• Vikram William Sunderrajan

• Clinical Social Worker in Hayward, CA
• Providers in Hayward, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.