Individual provider Active NPI

Sean Timothy Huling, CSWA

  • Social Worker
  • Coos Bay, OR
National Provider Identifier
1184405227
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
A15262 Issued in OR
Practice address
150 S Wall St
Coos Bay, OR 97420-3233
Phone
(541) 435-7200
NPI assigned
Oct 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW011446 GA
Social Worker 104100000X A15262 OR Primary

Addresses

Primary practice location

150 S Wall St
Coos Bay, OR 97420-3233

Mailing address

6040 Marshall Mill Rd
Lizella, GA 31052-7806
Phone (478) 250-2586

Other practice location 1

6040 Marshall Mill Rd
Lizella, GA 31052-7806
Phone (478) 250-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW011446GAMDSocial Worker
A15262ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians CurrentSince May 26, 2024 Accepting new patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians Current Accepting new patients

Locations

150 S Wall St
Coos Bay, OR 97420
Phone (541) 435-7200

Organizations & group practices 2

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1184405227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 MARSHALL MILL RD",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310527806",
            "telephone_number": "478-250-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Marshall Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Lizella",
            "state": "GA",
            "postal_code": "310527806",
            "country_code": "US",
            "telephone_number": "478-250-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULING",
        "first_name": "SEAN",
        "middle_name": "TIMOTHY",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011446",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A15262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.