Tamika Michelle Sullivan, LCSW
NPI 1770814790ActiveIndividual· Social Worker, Clinical· Sierra Vista, AZ
Social Worker, Clinical (LCSW) with Chiricahua Community Health Centers Inc, practicing in Sierra Vista, Arizona. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1770814790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 15, 2010 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C006080 | NC |
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 (AZ) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Chiricahua Community Health Centers IncBisbee, AZ · 44 clinicians
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All 34 clinical social workers in Sierra Vista · All clinical social workers in Arizona