Dr Michael A Sullivan-tibbs, LCSW, LCAC is a
Social Worker - Clinical based in Memphis, Tennessee. Dr Michael A Sullivan-tibbs is licensed to practice in Indiana (license number 34005914A) and his current practice location is
1030 Jefferson Ave, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(317) 748-8710.
NPI number for Dr Michael A Sullivan-tibbs is 1720394562 and his current mailing address is 3400 Lebanon Rd, Murfreesboro, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720394562.
Healthcare Provider's Profile
| Full Name | Dr Michael A Sullivan-tibbs |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1030 Jefferson Ave, Memphis, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720394562
- Provider Enumeration Date: 08/30/2010
- Last Update Date: 02/14/2019
Medical Identifiers
Medical identifiers for Dr Michael A Sullivan-tibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720394562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000061A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34005914A (Indiana) | 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. Dr Michael A Sullivan-tibbs 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 |
|---|
Dr Michael A Sullivan-tibbs, LCSW, LCAC
3400 Lebanon Rd,
Murfreesboro, TN 37129-1392
Ph: (615) 225-4729 | Dr Michael A Sullivan-tibbs, LCSW, LCAC
1030 Jefferson Ave,
Memphis, TN 38104-2127
Ph: (317) 748-8710 |
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