Heidi Marie Muller, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00946067 Issued in WV

Practice address

295 High St Ste 3
Morgantown, WV 26505-5449

Phone

(304) 363-4265

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shannon K Waliser Licsw Mpa LLC Dba Mind Body Wellness

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1689818379
  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1164188488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 HIGH ST STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 HIGH ST STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055449",
            "telephone_number": "304-363-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulberry Street Management Services, Inc.
• Mulberry Street Management Services, Inc.
• Mulberry Street Management Services, Inc.
• Kenneth Lynn Muldrew, MD
• Barbara Mulich, FNP-BC
• Charles J Mullett, M.D.
• Martha D Mullett, MD
• Kayla Mullin, LPC
• Jackie E Mullins, MSW
• Kelly Renee Mullins

• Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.