Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134110760 Individual Practitioner Female Practitioner

Michelle P Sullivan , LCSW

Social Worker • Nellis Air Force Base, NV

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michelle Sullivan, LCSW is a registered healthcare professional specializing in Social Worker in Nellis Air Force Base, NV. Official NPI practice address is registered at 4700 NORTH LAS VEGAS BOULEVARD.

Practice Location & Contact Primary Location

Practice Address

4700 North Las Vegas Boulevard
Mike O'callaghan Federal Medical Center

Nellis Air Force Base, NV 891916601

Telephone 7026533455
Fax 7026533398
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Nellis Air Force Base, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Nellis Air Force Base, NV (883 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License PA CW014390

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Highmark
SU 763420 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1295715746

Doctor of Medicine (M.D.)

Dr. David Berman , DO

Emergency Medicine

NPI 1306924071

Doctor of Osteopathic Medicine (D.O.)

Rachael Olmstead

Physician Assistant

NPI 1801116991

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2014

Registered at 4700 NORTH LAS VEGAS BOULEVARD, MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER, NELLIS AIR FORCE BASE, NV 891916601 (Tel: 7026533455)

📍
Updated Business Mailing Address March 10, 2014

Registered at 4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER, NELLIS AFB, NV 891916600 (Tel: 7026533455)

👤
Provider Name / Credentials Updated March 10, 2014

Recorded as MICHELLE SULLIVAN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Social Worker (License #CW014390 in PA)

🟢
Initial NPI Registration & Enumeration November 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134110760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: March 10, 2014
Sole Proprietor: No

Mailing Address

4700 Las Vegas Blvd N, Mike O'callaghan Federal Medical Center

Nellis Afb, NV 891916600

Phone: 7026533455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.