Beronica Lynn Sullivan, LCSW
NPI 1790068153ActiveIndividual· Social Worker, Clinical· Baton Rouge, LA
Social Worker, Clinical (LCSW) with Capital Area Human Services District, practicing in Baton Rouge, Louisiana. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1790068153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 22, 2011 |
| Last updated in NPPES | Aug 18, 2020 |
| Certified by provider | Aug 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5867 | LA |
| Social Worker | 104100000X | 5867 | LA |
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 (LA) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Capital Area Human Services DistrictBaton Rouge, LA · 31 clinicians
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