Mary Allison Sullivan, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9910 Issued in SC

Practice address

25 Woods Lake Rd Ste 712
Greenville, SC 29607-2765

Phone

(864) 334-7826

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1790930634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 712",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072765",
            "telephone_number": "864-334-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 712",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072765",
            "telephone_number": "864-334-7826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-380-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARY",
        "middle_name": "ALLISON",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC SOCIAL WORK LICENSE",
            "identifier": "9910",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Sullivan
• Jennifer Winkler Sullivan, CNM
• Jill Maxwell Sullivan, M.D.
• Latasha G Sullivan
• Lindsey Grace Sullivan
• Mary Jane Sullivan, RN
• Rosiland Sullivan
• Shalonie Rochelle Sullivan, PHARMD, BCACP
• Sonya Valjeanne Sullivan, BS
• Valerie Sullivan

• Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.