MRS. SHANTEL NICOLE SULLIVAN (LMSW) – Social Worker, NPI 1104166644

MRS. SHANTEL NICOLE SULLIVAN (LMSW) is a healthcare provider. based in Massena, New York. specializing in Social Worker. They hold the professional credentials LMSW. They hold a License No. 0771741 (NY). The NPI Number for MRS. SHANTEL NICOLE SULLIVAN (LMSW) is 1104166644

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANTEL NICOLE SULLIVAN (LMSW)
NPI
1104166644
Phone
(315) 353-2572
Address
7 SCHOOL ST
Enumeration Date
20 February 2013
Last Update Date
20 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9198763130
Graduation Year
2006 (20 years ago)
PAC ID
6002146834
Group Practice PAC ID
4688655517
Professional Enrollment ID
I20190922000022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MRS. SHANTEL NICOLE SULLIVAN (LMSW)

  • 7 SCHOOL ST

    MASSENA, NY 136621713

    Phone: (315) 353-2572

    Fax: (315) 353-2479

    Type: Mailing

  • 50 LEROY ST

    POTSDAM, NY 136761786

    Phone: (315) 261-5411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 13662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688655517View full group profile

Reviews

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Frequently asked questions

Can I cross-check MRS. SHANTEL NICOLE SULLIVAN (LMSW) using NPI 1104166644?
NPI 1104166644 belongs to MRS. SHANTEL NICOLE SULLIVAN (LMSW); compare other details if you need extra assurance.
Is there an active status for MRS. SHANTEL NICOLE SULLIVAN (LMSW)?
For scheduling context, MRS. SHANTEL NICOLE SULLIVAN (LMSW) is shown as active in the registry.
How would a patient describe MRS. SHANTEL NICOLE SULLIVAN (LMSW)'s focus?
For MRS. SHANTEL NICOLE SULLIVAN (LMSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. SHANTEL NICOLE SULLIVAN (LMSW) associated with Massena?
Public fields place MRS. SHANTEL NICOLE SULLIVAN (LMSW) around Massena, New York. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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