Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT is a
Social Worker - Clinical based in Seattle, Washington. Miranda Rosemarie Sullivan is licensed to practice in Washington (license number LW61541936) and her current practice location is
12245 N Park Ave N, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 551-1464.
NPI number for Miranda Rosemarie Sullivan is 1912521469 and her current mailing address is 12245 N Park Ave N, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912521469.
Healthcare Provider's Profile
Full Name | Miranda Rosemarie Sullivan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12245 N Park Ave N, Seattle, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912521469
- Provider Enumeration Date: 06/01/2020
- Last Update Date: 07/17/2024
Medical Identifiers
Medical identifiers for Miranda Rosemarie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912521469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61062660 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61541936 (Washington) | 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. Miranda Rosemarie 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 |
Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT 12245 N Park Ave N, Seattle, WA 98133-8026 Ph: (206) 551-1464 | Miranda Rosemarie Sullivan, LICSW, MHP, SUDPT 12245 N Park Ave N, Seattle, WA 98133-8026 Ph: (206) 551-1464 |
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