Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ana Luisa Sullivan

Individual provider Clinical Social Worker · NPI 1003242553

Ana Luisa Sullivan is a Clinical Social Worker in North las Vegas, Nevada. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Nevada.

Years since qualifying
14
Licensed in
NV
In the registry since
2013
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Practice location Address checks out

4040 N Martin L King Blvd Ste A
North las Vegas, NV 89032-3205
Phone: (702) 644-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12631-C (NV)

Record details

NPI number1003242553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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