Cathy McMullen, LCSW
Individual provider Active NPI Clinical Social Worker · Tremonton, UT
NPI 1376927947 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1376927947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9438610-3510 (UT)
- Practice address
- 440 W 600 N
Tremonton, UT 84337-2400 - Phone
- (435) 257-2168
- Fax
- (435) 257-0318
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bear River Mental Health Services Inc
Practice addresses (Care Compare)
90 E 200
Logan, UT 84321-4034
Phone (435) 752-0750
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in UT, MO, AZ, ID, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015000923 | UT | Practitioner - Clinical Social Worker | 6406165398 | Reassigns benefits to 1 organization |
| I20240701003730 | MO | Practitioner - Clinical Social Worker | 6406165398 | Reassigns benefits to 1 organization |
| I20240705002793 | AZ | Practitioner - Clinical Social Worker | 6406165398 | Reassigns benefits to 1 organization |
| I20241125002447 | ID | Practitioner - Clinical Social Worker | 6406165398 | Reassigns benefits to 1 organization |
| I20250120000695 | AK | Practitioner - Clinical Social Worker | 6406165398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9438610-3510 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 9438610-3510 | UT | Yes |
Addresses
Primary practice location
440 W 600 N
Tremonton, UT 84337-2400
Mailing address
308 S 100 W
Tremonton, UT 84337-1804
Phone (360) 335-9215
Other practice location 1
237 26th St
Ogden, UT 84401-3105
Phone (801) 625-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876000308007 | Medicaid | UT |
Other names
- Cathy McMullen
Other providers in Tremonton, UT
- Mylie Raine Laing
- Scott Call Laws
- Kenneth Joe Lee
- Holly Matthews
- Jessica McCulloch
- Zackary Chase McMurdie
- Chad L Merrell
- Rodney W Merrell
- Miles Counseling Services
- Miller Medical Inc
All providers in Tremonton, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.