Dora Mae Mullen, M.S.W LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004280 Issued in NC

Practice address

12024 Jasmine Cove Way
Raleigh, NC 27614-8042

Phone

(919) 609-0935

Fax

(919) 556-9377

NPI assigned

Sep 17, 2007

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

Other identifiers 1

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": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1437345121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 JASMINE COVE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148042",
            "telephone_number": "919-609-0935",
            "fax_number": "919-556-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12024 JASMINE COVE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148042",
            "telephone_number": "919-609-0935",
            "fax_number": "919-556-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "DORA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "M.S.W  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106596",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakeda Muldrow, LCSW
• McKenzie Mulhall
• Anna Mulhollem
• Ashley Mulkeen-Bey
• Morgan Eileen Mullaney, MD
• Savanah Palen Mullen, PA-C
• Jessica Hope Mullenix, AGNP
• Allison Kathleen Mullin, PA
• Kiernan David Mullin
• Carla Denise Mullins, LCSW-A

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.