Mr Michael J Sullivan, LMSW is a
Social Worker - Clinical based in Traverse City, Michigan. Mr Michael J Sullivan is licensed to practice in Michigan (license number 6801010527) and his current practice location is
402 S Union St, Traverse City, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 947-0350.
NPI number for Mr Michael J Sullivan is 1235385352 and his current mailing address is 402 S Union St, Traverse City, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235385352.
Healthcare Provider's Profile
Full Name | Mr Michael J Sullivan |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 402 S Union St, Traverse City, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235385352
- Provider Enumeration Date: 08/08/2008
- Last Update Date: 07/08/2019
Medical Identifiers
Medical identifiers for Mr Michael J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235385352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4101005085 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801010527 (Michigan) | 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. Mr Michael J 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 |
Mr Michael J Sullivan, LMSW 402 S Union St, Traverse City, MI 49684-5754 Ph: (231) 947-0350 | Mr Michael J Sullivan, LMSW 402 S Union St, Traverse City, MI 49684-5754 Ph: (231) 947-0350 |
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