Amanda Gabrielle Mullen, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18195 Issued in SC

Practice address

718 Dupont Rd
Charleston, SC 29407-5729

Phone

(843) 944-2283

Fax

(847) 607-9763

NPI assigned

Dec 29, 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

Other identifiers 1

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1841887544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 DUPONT RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075729",
            "telephone_number": "843-944-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 DUPONT RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075729",
            "telephone_number": "843-944-2283",
            "fax_number": "847-607-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "AMANDA",
        "middle_name": "GABRIELLE",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150118103",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760596480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby L Mulay, PH.D.
• Leonard William Mulbry II, MD
• Mary Decker Mulbry, M.D.
• Anand Jittin Mulji, MD
• Patrick Connor Mullane
• Amy N Mullen
• Shaughnessy V Mullen, M.D.
• Shalanda Denise Muller
• Ryan Mulligan
• Zachary William Mullin, PHARM D.

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.