Stephanie Mullins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

210808 Issued in MA

Practice address

466 County St
New Bedford, MA 02740-5107

Phone

(508) 997-0794

Fax

(508) 999-6607

NPI assigned

Mar 21, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Behavioral Health Services, PLLC 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthdrive Behavioral Health Services, PLLC

  • Geriatric Psychiatry Physician
  • Middletown, CT
  • NPI 1760909279

  Clinical, MA

  Medicare reassignment Care Compare group NPD
• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307

  MA

  Medicare reassignment NPD
• Compassionate Counseling Company

  • Community/Behavioral Health Agency
  • Fall River, MA
  • NPI 1790222768

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720104003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405107",
            "telephone_number": "508-997-0794",
            "fax_number": "508-999-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "210808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "210808",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Bess Moyer Bell, MHC-A
• Skip Allen Moyer, MS P.T.
• Erica Rose Mulcahey, LMHC
• Maureen Kelly Mullen, PT
• Michael Edward Mulligan
• Kym Marie Mulroy
• Multi-Cultural Mental Health & Counseling Services Inc.
• Kimberlyn Munoz
• Brian Murphy
• Jessica Murphy, PMHNP

• All providers in New Bedford, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.