Patrick Richard Mullen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8828 Issued in FL

Practice address

3108 58TH Ave N
Saint Petersburg, FL 33714-1331

Phone

(727) 742-2722

NPI assigned

Jun 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1871721233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 STNSTHRW CIR N",
            "address_2": "SUITE 8305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108736",
            "telephone_number": "727-686-7155",
            "fax_number": "727-726-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 58TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141331",
            "telephone_number": "727-742-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "PATRICK",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Patrick Mularoni, MD
• Jacqueline Mulder, CRNA
• Katherine Mulford
• Jeniffer Mulherin, OTR/L
• Kelley S Mulhern, D.C.
• Christine Muller, ARNP
• Madeline Robin Muller, DPT
• Boyd J Mullholand, MD
• Daryl Mullholand
• Meghan Kelsea Mulligan, LMHC

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.