Heather Mulkerns, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3699 Issued in OR

Practice address

736 SE 60TH Ave
Portland, OR 97215-1906

Phone

(503) 231-0743

NPI assigned

Sep 14, 2006

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 names 1

• Mosaic Counseling Professional name

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1669578217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SE HARRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144753",
            "telephone_number": "503-936-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-231-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKERNS",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSAIC",
            "last_name": "COUNSELING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Camilla Muldrow, CPPD, CD
• Eduardo Mulero, DDS
• Amelia Jane Mulford, CGC
• Shanice Nicole Muliro
• Colleen Frances Mulkern
• Aaron Mulkey
• Joseph Duane Mulkey
• Steven Brian Mullaney
• Sarah Mullany
• Daniel William Mullee, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.