IndividualActive
Robert Sullivan, LCSW
NPI 1679609911 · Counselor · Ketchikan, AK
Robert Sullivan, LCSW is a Counselor provider in Ketchikan, AK (NPI 1679609911).
Provider details
- NPI number
- 1679609911
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 605 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
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
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
102 Carlanna Lake Road
Ketchikan, AK 99901
Phone: (907) 225-5576
Fax: (206) 299-4244
Street-level locationGet directions
Mailing address
3183 Jackson Heights St
Ketchikan, AK 99901-5782
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Robert Sullivan's NPI number?
- Robert Sullivan's National Provider Identifier (NPI) is 1679609911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Sullivan's specialty?
- Robert Sullivan is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Robert Sullivan located?
- Robert Sullivan's practice location on file with NPPES is 102 Carlanna Lake Road, Ketchikan, AK 99901.
- What is Robert Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Robert Sullivan is (907) 225-5576.
- Is Robert Sullivan's NPI active?
- Yes — Robert Sullivan's NPI (1679609911) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.