Katherine Mullaney, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012664 Issued in NC

Practice address

4130 Oleander Dr Ste 100
Wilmington, NC 28403-6844

Phone

(910) 790-5921

NPI assigned

Aug 13, 2018

Last updated

Aug 13, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Stillpoint Counseling and Wellness, PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1578043386
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1760961445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036844",
            "telephone_number": "910-790-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036844",
            "telephone_number": "910-790-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "KATHERINE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Lea Mozingo, RD, LDN
• Mqa Support Services
• Mqa Support Services LLC
• Alyson Mroczka
• Kristin Mulderig, LDN/RD
• Rebecca Harrison Mullaney, LPCA
• Tiffany Mulligan, LCSWA
• Jeremy Randall Mullis, MA
• Savannah Marie Mullis, LCSW-A
• James Owen Mulroy, DPT

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.