KATHERINE BRADWAY MULLIS LCSW
NPI 1619493400
Social Worker - Clinical in Manchester, CT
About Katherine Bradway Mullis Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE BRADWAY MULLIS LCSW (NPI 1619493400) is an individual clinical provider in Manchester, Connecticut, licensed in Connecticut (009837) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Bradway Mullis Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Mullis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 60 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine Mullis's NPI number?
The NPI number for Katherine Mullis is 1619493400. It was assigned to this individual provider in the NPPES registry on August 14, 2017. The provider is also known as Katherine Elizabeth Bradway.
Where is Katherine Mullis located?
Katherine Mullis practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 648-6800.
What is Katherine Mullis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Katherine Mullis enrolled in Medicare?
Yes. Katherine Mullis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katherine Mullis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Mullis reassigns Medicare benefits to 2 organizations: Manchester Memorial Hospital, Inc. (Manchester, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Mullis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Mullis was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine Bradway Mullis, LCSW · NPI 1619493400
Clinical provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since August 14, 2017.
## Identity
- **NPI:** 1619493400 (Entity type: Individual)
- **Enumerated:** August 14, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 009837 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4131
- **Phone:** (860) 648-6800 · **Fax:** (860) 648-6831
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Manchester Memorial Hospital, Inc. (NPI 1295695039, Manchester, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 14, 2017
- **Other identifiers:** Medicaid CBHP0507KB (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1619493400) · Data from the CMS NPPES public registry.