Individual provider Active NPI

Megan Michele Sullivan, LMSW, CSW-INTERN

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1629783873
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12017-C Issued in NV
Practice address
1780 Carlin St
Reno, NV 89503-4021
Phone
(775) 291-3957
NPI assigned
Jan 20, 2023
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000042 NV Practitioner - Clinical Social Worker 9032639075 Reassigns benefits to 1 organization

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
Healing Minds LLCGroup PAC ID 5597073601, 18 clinicians

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

LicenseStateTypeSpecialty
10356-MNVMDSocial Worker
12017-CNVMDClinical Social Worker
IC-2103NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds, LLC Clinical CurrentSince Feb 3, 2025 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.

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

Verify at the official NPI Registry.