Abigail Phelan Mullen

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

17492 Issued in LA

Practice address

822 S Clearview Pkwy
Harahan, LA 70123-3401

Phone

(402) 850-7917

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 5, 2026 through Mar 5, 2028

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Tiffany Thibodeaux LLC

  • Professional Counselor
  • Prairieville, LA
  • NPI 1679162374
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1992579072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401",
            "telephone_number": "402-850-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ABIGAIL",
        "middle_name": "PHELAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "17492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Ann Moise-Hamada, DDS
• Sharon Moore
• George B Morris III, M.D.
• Thelma Latrice Moses
• Jane Radovich Moss, LCSW
• Kathleen A Myers, MT
• Nac Transports LLC
• Lauren Caldwell Nash, NP
• National Seating & Mobility, Inc.
• Norman Glen Neal, MD

• School Social Worker in Harahan, LA
• Providers in Harahan, LA by specialty
• School Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.