Active NPI
Casey Allyn Mulligan, MPH, LICSW, BCBA
- Clinical Social Worker
- Somerset, MA
National Provider Identifier
1639608169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121087
- Practice address
- 1540 Read St # 2
Somerset, MA 02726-1324 - Phone
- (508) 685-2431
- NPI assigned
- Jun 8, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2011 | MA | |
| Behavior Analyst | 103K00000X | LBA00167 | RI | |
| Clinical Social Worker | 1041C0700X | ISW02940 | RI | |
| Clinical Social Worker | 1041C0700X | 121087 | MA | Primary |
Addresses
Primary practice location
1540 Read St # 2
Somerset, MA 02726-1324
Mailing address
1540 Read St # 2
Somerset, MA 02726-1324
Phone (508) 685-2431
Other practice location 1
1082 Davol St.
Fall River, MA 02720
Phone (508) 678-2833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | doxy.me | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718000069 | MA | Practitioner - Clinical Social Worker | 2769863166 | Practice locations: Somerset, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Somerset, MA 02726
Phone (508) 916-2519
1540 Read St FL
Suite 2
Somerset, MA 02726-1324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA00167 | RI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1639608169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 READ ST # 2",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027261324",
"telephone_number": "508-685-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 READ ST # 2",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027261324",
"telephone_number": "508-685-2431"
}
],
"practiceLocations": [
{
"address_1": "1082 Davol St.",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "02720",
"country_code": "US",
"telephone_number": "508-678-2833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLIGAN",
"first_name": "CASEY",
"middle_name": "ALLYN",
"credential": "MPH, LICSW, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2011",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "LBA00167",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02940",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "doxy.me",
"affiliation": "N",
"endpointDescription": "HIPPA compliant website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1540 Read St # 2",
"city": "Somerset",
"state": "MA",
"country_code": "US",
"postal_code": "027261324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.