Jessica Sullivan
NPI 1174024020 · Clinical Social Worker · Madisonville, KY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Sullivan is a Clinical Social Worker provider in Madisonville, KY (NPI 1174024020).
Provider details
- NPI number
- 1174024020
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 254179 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3999 Fort Campbell BlvdHopkinsville, KY 42240-4929Phone: (270) 886-2205
Registry dates
- Enumerated
- 2018-02-26
- Last updated
- 2019-08-27
Frequently asked questions
- What is Jessica Sullivan's NPI number?
- Jessica Sullivan's National Provider Identifier (NPI) is 1174024020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Sullivan's specialty?
- Jessica Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Sullivan located?
- Jessica Sullivan's practice location on file with NPPES is 200 Clinic Dr, Madisonville, KY 42431-1661.
- What is Jessica Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jessica Sullivan is (270) 821-8874.
- Does Jessica Sullivan accept Medicare?
- Jessica Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Sullivan's NPI active?
- Yes — Jessica Sullivan's NPI (1174024020) is active in the NPPES registry as of the last update on 2019-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.