Casey Sullivan, LMSW
NPI 1235754128 · Clinical Social Worker · Boise, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1235754128
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW-44226 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 7941 W Rifleman StBoise, ID 83704-9001Phone: (208) 895-7950Fax: (855) 212-5682
- 847 Parkcentre Way Ste 7Nampa, ID 83651-1794Phone: (208) 229-6050Fax: (855) 212-5682
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.