Edward Mark Sullivan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDWARD MARK SULLIVAN

Doing business as

Sullivan Counseling Services
Sullivan Counseling Services LLC

Practice address

570 N State St Ste 220C
Westerville, OH 43082-8086

Phone

(614) 696-8400

Fax

(614) 362-9909

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Pam Reed

Title

Business Manager

Phone

(614) 696-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Sullivan Counseling Services Doing business as
• Sullivan Counseling Services LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Mark Sullivan, MSW, LISW-S

  • Clinical Social Worker
  • Westerville, OH
  • NPI 1659407674
  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1942063136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N STATE ST STE 220C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828086",
            "telephone_number": "614-696-8400",
            "fax_number": "614-362-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N STATE ST STE 220C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828086",
            "telephone_number": "614-696-8400",
            "fax_number": "614-362-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MARK SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "614-696-8400"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sullivan Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sullivan Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Eddingfield, MOT, OTR/L
• Emily Eddy
• Ciara Gabrielle Edgar
• Edgewood Manor of Westerville LLC
• Karise Edmunds, M.S. CCC-SLP
• Carissa Beth Edwards, ATC,PTA
• Jacqlyn B Edwards
• Kristyne Edwards, O.D.
• Tanasia Edwards
• Zachary Scott Efaw, CT

• Clinical Social Worker in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.