Mary Ann Pullin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

612 Oglesby Ave
Normal, IL 61761-1888

Phone

(309) 557-1124

Fax

(309) 454-9257

NPI assigned

Nov 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Decatur Counseling Center, LLC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1548136583
  NPD (past)
• Decatur Psychological Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1184732745
  NPD (past)
• The Baby Fold

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Normal, IL
  • NPI 1417906322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1033391495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 OGLESBY AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611888",
            "telephone_number": "309-557-1124",
            "fax_number": "309-454-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 OGLESBY AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611888",
            "telephone_number": "309-557-1124",
            "fax_number": "309-454-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIN",
        "first_name": "MARY ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Elizabeth Pribble, RN
• Brittany B Price, M.D.
• Primus Trauma Care LLC
• Kristi M Probst, M.S.
• Tomasz Przednowek
• Tamra Ann Purcell, RPH.
• Kelly R Pyle, AUD
• Quimby Dermatology, LTD.
• Roderick Santos Quintilla, PT
• Gregory George Rackauskas, D.D.S.

• Clinical Social Worker in Normal, IL
• Providers in Normal, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.