Active NPI
Megan Michele Sullivan, LMSW, CSW-INTERN
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1629783873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12017-C
- Practice address
- 1780 Carlin St
Reno, NV 89503-4021 - Phone
- (775) 291-3957
- NPI assigned
- Jan 20, 2023
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10356-M | NV | |
| Clinical Social Worker | 1041C0700X | IC-2103 | NV | |
| Clinical Social Worker | 1041C0700X | 12017-C | NV | Primary |
Addresses
Primary practice location
1780 Carlin St
Reno, NV 89503-4021
Mailing address
690 Edison Way
Reno, NV 89502-4135
Phone (775) 858-4504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan.sullivan2@uhsinc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6490 S McCarran Blvd
Suite A6
Reno, NV 89509-6119
Phone (775) 448-9760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10356-M | NV | MD | Social Worker |
| 12017-C | NV | MD | Clinical Social Worker |
| IC-2103 | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Minds, LLC | Clinical | Current | Accepting new patients |
Locations
6490 S McCarran Blvd
Ste A6
Reno, NV 89509
Phone (775) 448-9760
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.
-
- Clinical Social Worker
- Reno, NV
- NPI 1700153541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1629783873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 EDISON WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895024135",
"telephone_number": "775-858-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 CARLIN ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034021",
"telephone_number": "775-291-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MEGAN",
"middle_name": "MICHELE",
"name_prefix": "Miss",
"credential": "LMSW, CSW-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "10356-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "IC-2103",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12017-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan.sullivan2@uhsinc.com",
"affiliation": "N",
"address_1": "690 Edison Way",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895024135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.