Paula Myoshi Pullen, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14326 Issued in MD

Practice address

1434 Porter St
Fort Detrick, MD 21702-9254

Phone

(301) 619-6917

NPI assigned

Sep 28, 2009

Last updated

Sep 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1669706354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CASCADE WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036240",
            "telephone_number": "301-404-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PORTER ST",
            "city": "FORT DETRICK",
            "state": "MD",
            "postal_code": "217029254",
            "telephone_number": "301-619-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "PAULA",
        "middle_name": "MYOSHI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Morrissette
• Tawana Motes
• Karen Sellers Myers, LPN CCRC
• Jerome F Pierson, R.PH., PH.D.
• Geraldine Clare Powers, RN
• Manmohan Vishwanath Ranadive, M.D.
• Thomas Robinson, RN
• Janice Marie Rusnak, M.D.
• Robert E. Schwartz Jr., P.T.
• Renita Michelle Shoffner, RN

• Clinical Social Worker in Fort Detrick, MD
• Providers in Fort Detrick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.