Individual provider Active NPI

Casey Allyn Mulligan, MPH, LICSW, BCBA

  • Clinical Social Worker
  • Somerset, MA
National Provider Identifier
1639608169
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121087 Issued in MA
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

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LBA00167RIMDBehavioral 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

Verify at the official NPI Registry.