Abby Sullivan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007881 Issued in IA

Practice address

600 42ND St
Des Moines, IA 50312-2701

Phone

(515) 255-8399

Fax

(515) 255-8405

NPI assigned

Jan 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synergy Clinical Services, L.L.C.

  • Social Worker
  • Des Moines, IA
  • NPI 1750911681
  NPD
• Cindy Coenen LLC

  • Psychiatry Physician
  • Des Moines, IA
  • NPI 1578245411
  NPD (past)

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1821410200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122701",
            "telephone_number": "515-255-8399",
            "fax_number": "515-255-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ABBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Grace Suchy-Johnson
• Victoria Suich, MT-BC
• Kacey Lynne Suing, LMSW
• Danira Suljic, PHARMD
• Orhan Suljic, D.D.S.
• Andria Sullivan, PHARMD
• Daniel Joseph Sullivan, D.O.
• Dena Isabel Sullivan, PTA., ATC
• Guy Sullivan, PA-C
• Nancy Marie Sullivan, D.O.

• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.