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Deactivated NPI 1043362437 Deactivated / Inactive NPI Female Practitioner

Jean Chisholm Sullivan , LMSW

Social Worker • Patchogue, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jean Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2007
NPI Deactivation Date September 27, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Jean Sullivan, LMSW was a registered Social Worker practicing in Patchogue, NY. Throughout an active medical career spanning 14 years, Jean Sullivan provided care at the practice location at 153 RIDER AVENUE until profile deactivation on 2021-09-27.

Practice Location & Contact Primary Location

Practice Address

153 Rider Avenue

Patchogue, NY 11772

Telephone 6312897205

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Patchogue, NY (23970 Statewide)

Telehealth Adoption Rate
2.6% 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 049063

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
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NPI Profile Deactivated September 27, 2021

Record deactivated on September 27, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 153 RIDER AVENUE, PATCHOGUE, NY 11772 (Tel: 6312897205)

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Updated Business Mailing Address July 08, 2007

Registered at 153 RIDER AVENUE, PATCHOGUE, NY 11772 (Tel: 6312897205)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN SULLIVAN, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #049063 in NY)

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Initial NPI Registration & Enumeration January 17, 2007

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: 1043362437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 08, 2007
Deactivation Date: September 27, 2021

Mailing Address

153 Rider Avenue

Patchogue, NY 11772

Phone: 6312897205

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.