Provider Demographics
NPI:1154632214
Name:MULLMAN, LUCY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:
Last Name:MULLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E 88TH ST
Mailing Address - Street 2:APT 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0557
Mailing Address - Country:US
Mailing Address - Phone:212-534-9764
Mailing Address - Fax:
Practice Address - Street 1:19 E 88TH ST
Practice Address - Street 2:APT. 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0557
Practice Address - Country:US
Practice Address - Phone:212-534-9764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0099031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY111OtherHUNTER COLLEGE SCHOOL OF SOCIAL WORK
NYR009903OtherHUNT