Patricia Pauline Sullivan, LMSW LMFT DCSW
NPI 1639233786ActiveIndividual· Social Worker, Clinical· East Tawas, MI
Opted out of Medicare from January 2016 to January 2028. Social Worker, Clinical (LMSW LMFT DCSW) in East Tawas, Michigan, licensed in MI, with an NPI issued in December 2006.
Overview
| NPI | 1639233786 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW LMFT DCSW |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Oct 24, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801035911 | MI |
| Marriage & Family Therapist | 106H00000X | 4101005476 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2016 – Jan 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other clinical social workers in East Tawas
- 1942815030
- 1447816806
- 1952817421
- 1881507598
- 1770657389
- 1114570322