Active NPI
Cristin Sullivan, LMSW
- Social Worker
- Troy, NY
National Provider Identifier
1861672545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 055208
- Practice address
- 2215 Burdett Ave
Behavioral Health Dept
Troy, NY 12180-2466 - Phone
- (518) 271-3300
- Fax
- (518) 271-3682
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 055208 | NY | Primary |
Addresses
Primary practice location
2215 Burdett Ave
Behavioral Health Dept
Troy, NY 12180-2466
Mailing address
2215 Burdett Ave
Behavioral Health Dept
Troy, NY 12180-2466
Phone (518) 271-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055208 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1861672545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 BURDETT AVE",
"address_2": "BEHAVIORAL HEALTH DEPT",
"city": "TROY",
"state": "NY",
"postal_code": "121802466",
"telephone_number": "518-271-3300",
"fax_number": "518-271-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 BURDETT AVE",
"address_2": "BEHAVIORAL HEALTH DEPT",
"city": "TROY",
"state": "NY",
"postal_code": "121802466",
"telephone_number": "518-271-3300",
"fax_number": "518-271-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "CRISTIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "055208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.