Michael Edward Mulligan

Individual provider Active NPI Social Worker · New Bedford, MA

NPI 1992234249 · NPPES record last updated May 27, 2022

Key facts

NPI
1992234249
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
1061 Pleasant St
New Bedford, MA 02740-6728
Phone
(508) 250-2807
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

1061 Pleasant St
New Bedford, MA 02740-6728

Mailing address

16 Woodland Rd
Barrington, RI 02806-4116
Phone (401) 525-1199

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2022.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1992234249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODLAND RD",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028064116",
            "telephone_number": "401-525-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 PLEASANT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406728",
            "telephone_number": "508-250-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

All providers in New Bedford, MA · Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.