Active NPI
Laura Pullen, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1659796993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW65017
- Practice address
- 995 Potrero Ave
Ste 82
San Francisco, CA 94110 - Phone
- (415) 206-8000
- Fax
- (415) 206-5230
- NPI assigned
- Feb 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW25866 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW65017 | CA | Primary |
Addresses
Primary practice location
995 Potrero Ave
Ste 82
San Francisco, CA 94110
Mailing address
1001 Potrero Ave
1C12
San Francisco, CA 94110
Phone (415) 206-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW25866 | CA | MD | Social Worker |
| LCSW65017 | CA | MD | Clinical Social Worker |
| 65017 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1659796993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "1C12",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-8000",
"fax_number": "415-206-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVE",
"address_2": "STE 82",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-8000",
"fax_number": "415-206-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "LAURA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW25866",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW65017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.