Lisa Sullivan, LCSW
NPI 1336486414 · Clinical Social Worker · Medford, NY
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Sullivan, LCSW is a Clinical Social Worker provider in Medford, NY (NPI 1336486414).
Provider details
- NPI number
- 1336486414
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 083436-1 (NY)
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Lisa Sullivan's NPI number?
- Lisa Sullivan's National Provider Identifier (NPI) is 1336486414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Sullivan's specialty?
- Lisa Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lisa Sullivan located?
- Lisa Sullivan's practice location on file with NPPES is 31 Industrial Blvd, Medford, NY 11763-2220.
- What is Lisa Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Lisa Sullivan is (631) 205-6232.
- Does Lisa Sullivan accept Medicare?
- Lisa Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Sullivan's NPI active?
- Yes — Lisa Sullivan's NPI (1336486414) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.