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Bradi Patrice Sullivan, MSW, LICSW, LCSW

Clinical Social Worker in Truckee, CA · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174195036

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Registry record

Entity type Individual (Type 1)
Name Bradi Patrice Sullivan
Credential MSW, LICSW, LCSW
Sex Female
Practice address 10775 Pioneer Trl Ste 215, Truckee, CA, 96161
Fax (415) 520-6633
Enumeration date Jul 12, 2021
Last updated in NPPES Jan 15, 2025

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 0904016390 (VA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 127400 (IA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LW61330062 (WA) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier Type State Issuer
2182977 Medicaid WA -
0140722 Medicaid IA -
30017765220001 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bradi Sullivan?
The National Provider Identifier (NPI) for Bradi Sullivan is 1174195036, a Type 1 (individual) record in the CMS NPPES registry.
Where does Bradi Sullivan practice?
The practice location on file with NPPES is in Truckee, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-15.