Active NPI
Anna Kathleen Morgan-Mullane, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1962655316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081818-1
- Practice address
- 54 Macdonough St
Brooklyn, NY 11216-2304 - Phone
- (718) 483-9290
- Fax
- (718) 483-9287
- NPI assigned
- Oct 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081818-1 | NY | Primary |
Addresses
Primary practice location
54 Macdonough St
Brooklyn, NY 11216-2304
Mailing address
54 Macdonough St
Brooklyn, NY 11216-2304
Phone (718) 483-9290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03505424 | Medicaid | NY |
Other names 1
- Ms. Anna Morgan Mullane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081818-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children of Promise, Nyc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Brooklyn, NY
- NPI 1164723714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1962655316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MACDONOUGH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162304",
"telephone_number": "718-483-9290",
"fax_number": "718-483-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MACDONOUGH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162304",
"telephone_number": "718-483-9290",
"fax_number": "718-483-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN-MULLANE",
"first_name": "ANNA",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081818-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03505424",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "MORGAN MULLANE",
"prefix": "MS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.