Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Daniel Sullivan, LICSW, CDGC

Individual provider Mental Health Counselor · NPI 1063548139

Michael Daniel Sullivan, LICSW, CDGC is a Clinical Social Worker in Norfolk, Nebraska. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
33
Licensed in
NE
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

110 N 37th St Ste 301
Norfolk, NE 68701-3283
Phone: (402) 750-7923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1464 (NE)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1063548139
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , CDGC
Sole proprietorYes
NPI enumeratedFebruary 25, 2007
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address110 N 37th St Ste 301, Norfolk, NE 68701-3283

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk