Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Mark Sullivan, MSW, LISW-S

Individual provider Clinical Social Worker · NPI 1659407674

Edward Mark Sullivan, MSW, LISW-S is a Clinical Social Worker in Westerville, Ohio. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
41
Licensed in
OH
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

570 N State St Ste 220C
Westerville, OH 43082-8086
Phone: (614) 696-8400
Fax: (614) 362-9909
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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 I0004577 (OH)

Record details

NPI number1659407674
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LISW-S
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Westerville