Edward David Mulligan III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6610 Issued in LA

Practice address

2315 Florida Street BLDG 200,
Suite 226
Mandeville, LA 70448

Phone

(985) 774-0175

Fax

(985) 377-0980

NPI assigned

Jun 12, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• LA PPO C-SNP

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1114187267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 190 APT 1323",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483486",
            "telephone_number": "985-774-0175",
            "fax_number": "985-377-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 FLORIDA STREET BLDG 200,",
            "address_2": "SUITE 226",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-774-0175",
            "fax_number": "985-377-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "EDWARD",
        "middle_name": "DAVID",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Olevia Moss, LPN
• Movewell Physical Therapy and Wellness, LLC
• Mroski Chiropractic Apc (Northshore Chiropractic Clinic)
• David V. Mroski, D.C.
• Mary Lee Muller
• Paulina B Murphy, LPC
• Linda Marie Muse, LPN
• Teri Musso
• Beverley Musson, LCSW
• Hailie Catherine Myers, DDS

• Clinical Social Worker in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.