David C. Lull, M.S.S.S., PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1405 Issued in AZ

Practice address

18301 N 79TH Ave
Suite C-133
Glendale, AZ 85308-8471

Phone

(623) 979-2424

Fax

(623) 979-2529

NPI assigned

Jul 10, 2006

Last updated

Sep 11, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1962436501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 NORTH 79TH AVENUE",
            "address_2": "SUITE C-133",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088471",
            "telephone_number": "623-979-2424",
            "fax_number": "623-979-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITE C-133",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088471",
            "telephone_number": "623-979-2424",
            "fax_number": "623-979-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULL",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.S.S.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE LCSW NUMBER",
            "identifier": "1405",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siu Chun Lui
• Daniel D Luisi, DDS
• Gabriella Luiso, RBT
• Giana Inez Lujan, BS SLP
• Rosanna Sanchez Lujan, FNP
• Marsha K Lull, MSW
• Harry Yee Kau Lum, MD
• Jaylene P Lum, PA-C
• Lucia Jane Lumley, PA-C
• Brenda Luna Maldonado

• Clinical Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.