Individual provider Active NPI

Evelyn Mullings, MSW

  • Clinical Social Worker
  • Winter Garden, FL
National Provider Identifier
1164157442
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW10875 Issued in FL
Practice address
213 S Dillard St Ste 120B
Winter Garden, FL 34787-3596
Phone
(407) 734-3338
Fax
(407) 734-3338
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X ISW10875 FL Primary

Addresses

Primary practice location

213 S Dillard St Ste 120B
Winter Garden, FL 34787-3596

Mailing address

11843 NW 2ND MNR
Coral Springs, FL 33071-8013
Phone (954) 589-3335

Other practice location 1

11843 NW 2nd Mnr
Coral Springs, FL 33071-8013
Phone (954) 589-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230217000129 FL Practitioner - Clinical Social Worker 6204208416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW10875FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Consulting Holdings, LLC Mental Health CurrentSince Feb 3, 2023 Accepting new patients

Locations

9900 W Sample Rd
Ste 339
Coral Springs, FL 33065
Phone (561) 545-3036

213 S Dillard St
Ste 120B
Winter Garden, FL 34787
Phone (407) 734-3338

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1164157442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 NW 2ND MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718013",
            "telephone_number": "954-589-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST STE 120B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873596",
            "telephone_number": "407-734-3338",
            "fax_number": "407-734-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11843 NW 2nd Mnr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330718013",
            "country_code": "US",
            "telephone_number": "954-589-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINGS",
        "first_name": "EVELYN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW10875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.