Margaret Meave Johnson Sullivan, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107719 Issued in CA

Practice address

589 Low Gap Rd
Ukiah, CA 95482-3734

Phone

(707) 234-6902

NPI assigned

Apr 26, 2022

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 names 1

• Meave Johnson Professional name

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1891439766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 LOW GAP RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823734",
            "telephone_number": "707-234-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARGARET MEAVE",
        "middle_name": "JOHNSON",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAVE",
            "last_name": "JOHNSON",
            "credential": "ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Strong
• Emma Stuart
• Marcella Evelyn Studebaker
• Jacob Stults, DO
• Laura Sullivan, LCSW
• Joshua Summit
• Alan C Sunbeam, L. AC.
• Nancy Sutherland
• Elizabeth Anne Sutter, SUDRC 16007
• Matthew Scott Swain, D.O.

• Clinical Social Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.