Leiloni Mulligan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014947 Issued in NC

Practice address

3000 Bethesda PL Ste 202
Winston Salem, NC 27103-3324

Phone

(336) 293-4107

Fax

(949) 577-4324

NPI assigned

Nov 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A World of Opportunity, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Concord, NC
  • NPI 1578131413
  NPD Authorized official
• A World Within PLLC

  • Clinical Social Worker
  • Concord, NC
  • NPI 1114842283
  Authorized official Same address or phone
• Kairos Medical Consulting, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1669011565
  NPD
• Kairos Wellness Initiative

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1417620527
  NPD

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1790385326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033323",
            "telephone_number": "704-231-8180",
            "fax_number": "949-577-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033324",
            "telephone_number": "336-293-4107",
            "fax_number": "949-577-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "LEILONI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimelynne Mula
• Kimberly Ann Mullane
• Marilyn Kay Mullane, PA-C
• Johnny Marvin Mullen, LCSW
• Kelsey Mullens
• Christina Harper Mullins, OTR/L
• Rachel Anne Mullins, MD
• Joseph Bradley Mullis, DO
• Kiran Mullur, MD
• Bhupinder Singh Multani, FNP

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, 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 Nov 14, 2023; 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.