Individual provider Active NPI

Mary Elizabeth Mulholland, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1144305087
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09154 Issued in MD
Practice address
15107 Interlachen Dr
Apt. 1006
Silver Spring, MD 20906-5625
Phone
(301) 598-5295
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09154 MD Primary

Addresses

Primary practice location

15107 Interlachen Dr
Apt. 1006
Silver Spring, MD 20906-5625

Mailing address

15107 Interlachen Dr
Apt. 1006
Silver Spring, MD 20906-5625
Phone (301) 598-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20081201000499 DC Practitioner - Clinical Social Worker 1850452459 Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09154MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ephesians Life Ministries, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1144305087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15107 INTERLACHEN DR",
            "address_2": "APT. 1006",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065625",
            "telephone_number": "301-598-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 INTERLACHEN DR",
            "address_2": "APT. 1006",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065625",
            "telephone_number": "301-598-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.