Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366918617 Individual Practitioner Male Practitioner

Michael David Sullivan

Social Worker • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Michael Sullivan is a registered healthcare professional specializing in Social Worker in Ithaca, NY. Practice services are available at 403 1/2 HECTOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 1/2 Hector St

Ithaca, NY 148502025

Telephone 7247041719

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Ithaca, NY (23970 Statewide)

Telehealth Adoption Rate
2.7% 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 NY 087166

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.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location April 27, 2019

Registered at 403 1/2 HECTOR ST, ITHACA, NY 148502025 (Tel: 7247041719)

NPI Profile Active October 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2018

Registered at 6627 ROUTE 227, TRUMANSBURG, NY 14850 (Tel: 6073876118)

📍
Updated Business Mailing Address October 15, 2018

Registered at 403 1/2 HECTOR ST, ITHACA, NY 148502025 (Tel: 7247041719)

👤
Provider Name / Credentials Updated October 15, 2018

Recorded as MICHAEL SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Social Worker (License #087166 in NY)

🟢
Initial NPI Registration & Enumeration October 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366918617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2018
Last Update: April 27, 2019
Sole Proprietor: No

Mailing Address

403 1/2 Hector St

Ithaca, NY 148502025

Phone: 7247041719

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.