Kathleen Sullivan, LICSW
NPI 1467574715 · Clinical Social Worker · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathleen Sullivan, LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1467574715).
Provider details
- NPI number
- 1467574715
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 13480 (MN)
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
19 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)
- 3033 Excelsior Blvd Ste 215Minneapolis, MN 55416-5274Phone: (612) 293-6523Fax: (651) 925-0427
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Kathleen Sullivan's NPI number?
- Kathleen Sullivan's National Provider Identifier (NPI) is 1467574715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Sullivan's specialty?
- Kathleen Sullivan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathleen Sullivan located?
- Kathleen Sullivan's practice location on file with NPPES is 621 W Lake St Ste 350, Minneapolis, MN 55408-2952.
- What is Kathleen Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Sullivan is (612) 979-2276.
- Does Kathleen Sullivan accept Medicare?
- Kathleen Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathleen Sullivan's NPI active?
- Yes — Kathleen Sullivan's NPI (1467574715) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.