Michael Daniel Sullivan, LICSW, CDGC
NPI 1063548139ActiveIndividual· Counselor, Mental Health· Norfolk, NE
Counselor, Mental Health (LICSW, CDGC) in Norfolk, Nebraska, licensed in NE, with an NPI issued in February 2007. Medicare paid $19,006 for services to 11 patients in 2024.
Overview
| NPI | 1063548139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW, CDGC |
| Sole proprietor | Yes |
| NPI issued | Feb 25, 2007 |
| Last updated in NPPES | Apr 8, 2025 |
| Certified by provider | Apr 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 1464 | NE |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 227 across 3 procedure codes |
| Paid by Medicare | $19,006 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 152 mental health counselors in Norfolk · All mental health counselors in Nebraska