Kelly M Sullivan, LCSW is a
Social Worker - Clinical based in Cuero, Texas. Kelly M Sullivan is licensed to practice in Texas (license number 50388) and her current practice location is
1109 E Broadway St, Cuero, Texas. She can be reached at her office (for appointments etc.) via phone at
(361) 275-2800.
NPI number for Kelly M Sullivan is 1962528778 and her current mailing address is 1109 E Broadway St, Cuero, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962528778.
Healthcare Provider's Profile
| Full Name | Kelly M Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1109 E Broadway St, Cuero, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962528778
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kelly M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962528778 | NPI | - | NPPES |
| 50388 | Other | TX | LIC. CLINICAL SOCIAL WORK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 50388 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly M Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly M Sullivan, LCSW
1109 E Broadway St,
Cuero, TX 77954-2108
Ph: (361) 275-2800 | Kelly M Sullivan, LCSW
1109 E Broadway St,
Cuero, TX 77954-2108
Ph: (361) 275-2800 |
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