Active NPI
Maureen Cecilia Mulligan, LSW
- Social Worker
- Pagosa Springs, CO
National Provider Identifier
1922471135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009920947
- Practice address
- 95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329 - Phone
- (970) 731-9545
- Fax
- (970) 731-0511
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009920947 | CO | Primary |
| Social Worker | 104100000X | 074938 | NY |
Addresses
Primary practice location
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Mailing address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009920947 | CO | MD | Social Worker |
| 074938 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1922471135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-9545",
"fax_number": "970-731-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-9545",
"fax_number": "970-731-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "MAUREEN",
"middle_name": "CECILIA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009920947",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "074938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pagosa Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.