Jessica Lena Mullins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012866 Issued in NC

Practice address

109 W Upper Ferry Rd FL 1
Ewing, NJ 08628-2725

Phone

(423) 963-7799

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1356963375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W UPPER FERRY RD FL 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W UPPER FERRY RD FL 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282725",
            "telephone_number": "423-963-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JESSICA",
        "middle_name": "LENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020745",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebraam Mousa, PHARMD, RPH
• Mubashar a Choudry MD of New Jersey PC
• Jamie Lee Mucciarelli, LCSW
• Eric Mullen
• Brian A Mulligan, PT
• Victoria Ines Munoz, RN,MSN,ANP,FNPC
• Nathalie Edmond, LLC (Mindful and Multicultural Counseling)
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• National Vision Inc (America's Best Contacts & Eyeglasses)

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.