Individual provider Active NPI

Maria S Pulley I, LMSW

  • Social Worker
  • Romulus, MI
National Provider Identifier
1831512912
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802087928 Issued in MI
Practice address
16258 Hillsbriar Dr
Romulus, MI 48174-2981
Phone
(734) 512-8141
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801109824 MI
Social Worker 104100000X 6802087928 MI Primary

Addresses

Primary practice location

16258 Hillsbriar Dr
Romulus, MI 48174-2981

Mailing address

16258 Hillsbriar Dr
Romulus, MI 48174-2981
Phone (734) 512-8141

Other identifiers 1

IdentifierTypeStateIssuer
R300585067384MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801109824MIMDSocial Worker
6802087928MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Motivation Therapeutic Services CurrentSince Oct 8, 2023 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1831512912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16258 HILLSBRIAR DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742981",
            "telephone_number": "734-512-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16258 HILLSBRIAR DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742981",
            "telephone_number": "734-512-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "MARIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109824",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R300585067384",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

Verify at the official NPI Registry.