Individual provider Active NPI

Maureen Bridgit O'Sullivan, LPC, LSW

  • Social Worker
  • Richmond HTS, OH
National Provider Identifier
1871636548
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0006643 Issued in OH
Practice address
250 Richmond Rd
Richmond HTS, OH 44143-1407
Phone
(216) 261-7887
Fax
(261) 291-2611
NPI assigned
Feb 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C-0004742 OH
Social Worker 104100000X S0006643 OH Primary
School Social Worker 1041S0200X 228062 OH

Addresses

Primary practice location

250 Richmond Rd
Richmond HTS, OH 44143-1407

Mailing address

250 Richmond Rd
Richmond HTS, OH 44143-1407
Phone (216) 261-7887

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

LicenseStateTypeSpecialty
C-0004742OHMDMental Health Counselor
S0006643OHMDSocial Worker
228062OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871636548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-261-7887",
            "fax_number": "261-291-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-261-7887",
            "fax_number": "261-291-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "MAUREEN",
        "middle_name": "BRIDGIT",
        "name_prefix": "Ms.",
        "credential": "LPC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C-0004742",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0006643",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "228062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.