Bradi Patrice Sullivan, MSW, LICSW, LCSW is a
Social Worker - Clinical based in Truckee, California. Bradi Patrice Sullivan is licensed to practice in Washington (license number LW61330062) and her current practice location is
10775 Pioneer Trl Ste 215, Truckee, California. She can be reached at her office (for appointments etc.) via phone at
(415) 424-4266.
NPI number for Bradi Patrice Sullivan is 1174195036 and her current mailing address is 8300 Esters Blvd Ste 900, Irving, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174195036.
Healthcare Provider's Profile
| Full Name | Bradi Patrice Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 10775 Pioneer Trl Ste 215, Truckee, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174195036
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Bradi Patrice Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174195036 | NPI | - | NPPES |
| 2182977 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904016390 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61330062 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradi Patrice Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradi Patrice Sullivan, MSW, LICSW, LCSW
8300 Esters Blvd Ste 900,
Irving, TX 75063-2233
Ph: (415) 424-4266 | Bradi Patrice Sullivan, MSW, LICSW, LCSW
10775 Pioneer Trl Ste 215,
Truckee, CA 96161-0234
Ph: (415) 424-4266 |
Reviews and Comments