Kiersten Mulcahy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17455 Issued in ME

Practice address

22 Free St Ste 402
Portland, ME 04101-3900

Phone

(207) 358-3460

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By 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 1

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1396392742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MORNING ST APT 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012069",
            "telephone_number": "201-264-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FREE ST STE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013900",
            "telephone_number": "207-358-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "KIERSTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary P Mueller, DO
• Christian Muhunde
• Altana Mujevic
• Anne Marie Mukankusi
• Elizabeth Alanna Mulcahy, FNP
• Delaney Mullen, RDH
• Jeanne Miles Mullen, CNS
• Anne Mullin, MD
• Joseph Patrick Mullins
• Christopher C Muncie, PSYD

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.