Active NPI
Grace Anne Mulcahy, LSCSW
- Social Worker
- Atchison, KS
National Provider Identifier
1265731855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4490
- Practice address
- 104 N 6TH St
Suite 7
Atchison, KS 66002-2416 - Phone
- (913) 367-0150
- NPI assigned
- Mar 22, 2011
- Last updated
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8090 | KS | |
| Social Worker | 104100000X | 4490 | KS | Primary |
Addresses
Primary practice location
104 N 6TH St
Suite 7
Atchison, KS 66002-2416
Mailing address
822 N 3Rd St
Atchison, KS 66002-1921
Phone (913) 674-6489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2023 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4490 | KS | MD | Social Worker |
| 8090 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1265731855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 N 3RD ST",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660021921",
"telephone_number": "913-674-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N 6TH ST",
"address_2": "SUITE 7",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660022416",
"telephone_number": "913-367-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAHY",
"first_name": "GRACE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8090",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.