Robert Mulliken, LCSW

Individual provider Active NPI Clinical Social Worker · Hallowell, ME

NPI 1093733180 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093733180
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC4607 (ME)
Practice address
52 Water St
Hallowell, ME 04347-1437
Phone
(207) 294-4657
Fax
(207) 294-4649
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
543NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser Past
since Mar 12, 2012
Accepting new patients
Protea Behavioral Health Services Past Accepting new patients
Seacoast Mental Health Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC4607 ME Yes

Addresses

Primary practice location

52 Water St
Hallowell, ME 04347-1437

Mailing address

578 Main St
Monmouth, ME 04259-7530

Other providers in Hallowell, ME

All providers in Hallowell, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.