Individual provider Active NPI

Christina Sullivan, LCSW

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1619002524
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7181 Issued in FL
Practice address
6990 Griffin Rd
Davie, FL 33314-4345
Phone
(954) 526-4437
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 SW7181 FL Primary

Addresses

Primary practice location

6990 Griffin Rd
Davie, FL 33314-4345

Mailing address

3012 NE 21St Ter
Ft Lauderdale, FL 33306-1220
Phone (954) 253-8399

Other practice location 1

4758 W Commercial Blvd
Tamarac, FL 33319-2877
Phone (954) 526-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260129000750 FL Practitioner - Clinical Social Worker 3173001419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

6990 Griffin Rd
Davie, FL 33314-4345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7181FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Therapy Group Inc Clinical CurrentSince Dec 6, 2025 Accepting new patients

Locations

6990 Griffin Rd
Davie, FL 33314
Phone (754) 248-9589

4758 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 440-2483

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1619002524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 NE 21ST TER",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061220",
            "telephone_number": "954-253-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144345",
            "telephone_number": "954-526-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4758 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333192877",
            "country_code": "US",
            "telephone_number": "954-526-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.