Individual provider Active NPI

Cathy Goldstein Mullin, LICSW

  • Clinical Social Worker
  • Wenham, MA
National Provider Identifier
1962426072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111989 Issued in MA
Practice address
48 Cherry Street
Wenham, MA 01984
Phone
(978) 468-1029
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111989 MA Primary

Addresses

Primary practice location

48 Cherry Street
Wenham, MA 01984

Mailing address

48 Cherry Street
Wenham, MA 01984
Phone (978) 468-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000941 MA Practitioner - Clinical Social Worker 6002875382 Reassigns benefits to 1 organization
Practice locations: Wenham, MA

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Jun 1, 2007 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Jun 1, 2007 Accepting new patients
Northeast Hospital Corp. Past Accepting new patients
Active Life Chiropractic, LLC Past Accepting new patients

Locations

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962426072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CHERRY STREET",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "01984",
            "telephone_number": "978-468-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CHERRY STREET",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "01984",
            "telephone_number": "978-468-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN MULLIN",
        "first_name": "CATHY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenham, MA

Sources for this page

Verify at the official NPI Registry.