Alexander William Sullivan, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116184 Issued in MI

Practice address

5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100

Phone

(269) 459-1512

Fax

(269) 459-1151

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alec Sullivan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simone Behavioral Health

  • Mental Health Counselor
  • Annapolis, MD
  • NPI 1700484755
  Authorized official Same address or phone
• Beyond Focused

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1861956807
  NPD
• Integrated Behavioral Health Psychological Services, PLLC

  dba IBH Psychological Services

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1295073393

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1932914371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 SANDPIPER ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247406",
            "telephone_number": "269-547-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-459-1512",
            "fax_number": "269-459-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALEXANDER",
        "middle_name": "WILLIAM",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEC",
            "last_name": "SULLIVAN",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Suggs, MD
• Fnu Suha Tarannum, MD
• Suji Home LLC (none)
• Shuaib Sulaiman
• Jordan Sullenberger
• Corbin Draper Sullivan, M.D.
• Jacqueline Sullivan
• Katherine Sullivan
• Kathryn Ann Sullivan
• Maura K Sullivan, PA

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.