Individual provider Active NPI

Lucy Mullman, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154632214
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R009903 Issued in NY
Practice address
19 E 88TH St
Apt. 1D
New York, NY 10128-0557
Phone
(212) 534-9764
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 R009903 NY Primary

Addresses

Primary practice location

19 E 88TH St
Apt. 1D
New York, NY 10128-0557

Mailing address

19 E 88TH St
Apt 1D
New York, NY 10128-0557
Phone (212) 534-9764

Other identifiers 2

IdentifierTypeStateIssuer
111OtherNYHUNTER COLLEGE SCHOOL OF SOCIAL WORK
R009903OtherNYHUNT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260420003057 NY Practitioner - Clinical Social Worker 6800362427 Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

229 E 85TH St Unit
Suite 26
New York, NY 10028-9601

3343 Crescent St
Apt 4G
Astoria, NY 11106-3801

3343 Crescent St
Apt 4G
Astoria, NY 11106-3808
Phone (212) 534-9764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R009903NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1154632214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 88TH ST",
            "address_2": "APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280557",
            "telephone_number": "212-534-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 88TH ST",
            "address_2": "APT. 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280557",
            "telephone_number": "212-534-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLMAN",
        "first_name": "LUCY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R009903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUNTER COLLEGE SCHOOL OF SOCIAL WORK",
            "identifier": "111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUNT",
            "identifier": "R009903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.