Cathy Goldstein Mullin, LICSW
Individual provider Active NPI Clinical Social Worker · Wenham, MA
NPI 1962426072 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962426072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 111989 (MA)
- Practice address
- 48 Cherry Street
Wenham, MA 01984 - Phone
- (978) 468-1029
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
48 Cherry St
Wenham, MA 01984-1313
Phone (978) 473-6078
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000941 | MA | Practitioner - Clinical Social Worker | 6002875382 |
Reassigns benefits to 1 organization Practice locations: Wenham, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111989 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Center, Inc. | Current |
Accepting new patients | |
| North Shore Medical Center, Inc. | Current |
Accepting new patients | |
| Commonwealth Pathology Partners, P.C. | Current | Accepting new patients | |
| Active Life Chiropractic, LLC | Past | Accepting new patients | |
| Northeast Hospital Corp. | Past | Accepting new patients |
Locations
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111989 | MA | Yes |
Addresses
Primary practice location
48 Cherry Street
Wenham, MA 01984
Mailing address
48 Cherry Street
Wenham, MA 01984
Phone (978) 468-1029
Other providers in Wenham, MA
- Elizabeth Clare Dowd
- Cindy Dudgeon
- Daniel Alan Durgin Jr.
- Bonnie Michelle Freitas
- Jennifer Dawn Gilligan
- Gordon College
- Leslie Grant
- Hamilton-Wenham Regional School District
- Harmeling Physical Therapy and Sports Fitness
- Luke Harmeling
All providers in Wenham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.