Individual provider Active NPI

Joan Frances Mullens, L.C.S.W

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1144393562
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991542 Issued in CO
Practice address
815 S Cascade Ave
Colorado Springs, CO 80903
Phone
(719) 332-4568
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 991542 CO Primary

Addresses

Primary practice location

815 S Cascade Ave
Colorado Springs, CO 80903

Mailing address

815 S Cascade Ave
Colorado Springs, CO 80903-4101
Phone (719) 332-4568

Other practice location 1

815 S Cascade Ave
Colorado Springs, CO 80903-4101
Phone (719) 328-1301

Other practice location 2

815 S Cascade Ave
Colorado Springs, CO 80903-4101
Phone (719) 332-8233

Other practice location 3

815 S Cascade Ave
Colorado Springs, CO 80903-4101
Phone (719) 332-8233

Other identifiers 1

IdentifierTypeStateIssuer
126424MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140207000911 CO Practitioner - Clinical Social Worker 8123257409 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

815 S Cascade Ave
Colorado Springs, CO 80903-4101
Phone (719) 328-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991542COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1144393562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034101",
            "telephone_number": "719-332-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-332-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Cascade Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809034101",
            "country_code": "US",
            "telephone_number": "719-328-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Cascade Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809034101",
            "country_code": "US",
            "telephone_number": "719-332-8233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Cascade Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809034101",
            "country_code": "US",
            "telephone_number": "719-332-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "JOAN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126424",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.