Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel James Sullivan

Individual provider Counselor · NPI 1427791615

Daniel James Sullivan is a Clinical Social Worker in Holland, Michigan. Qualified in 2019, 7 years ago. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

388 Garden Ave Ste 110
Holland, MI 49424-8999
Phone: (616) 222-0631
Fax: (616) 222-0631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6851104339 (MI)
Counselor Taxonomy 101Y00000X

Record details

NPI number1427791615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 11, 2022
Mailing address388 Garden Ave Ste 110, Holland, MI 49424-8999

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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