Individual provider · Type 1 NPI

Gina Mullen, LICSW

Clinical Social Worker · Johnston, RI

NPI number 1881856961 Active

Practice location

1443 Hartford Avenue
Johnston, RI 02919

Fax (401) 861-8696

Mailing address

1443 Hartford Ave
Johnston, RI 02919-3224

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDP00421 (RI)
Clinical Social Worker Primary 1041C0700XISW02357 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1881856961

Gina Mullen, LICSW's National Provider Identifier is 1881856961, issued on Jun 30, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnston, RI. The record was last updated on Oct 29, 2019.