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KATHERINE BRADWAY MULLIS LCSW
NPI 1619493400
Social Worker - Clinical in Manchester, CT

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
71 HAYNES ST, MANCHESTER, CT 06040(860) 648-6800(860) 648-6831 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619493400
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE BRADWAY MULLISCredential: LCSW
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131
Phone(860) 648-6800
Fax(860) 648-6831
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2017
✔ NPI 1619493400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 009837
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
71 HAYNES ST, Manchester, CT 06040
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Other Names 1

Former Name (1)Katherine Elizabeth Bradway

Other Identifiers 1

MedicaidCBHP0507KBCT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9032485941
PECOS Enrollment IDI20171020001155
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. FRANKLIN GEORGE GILLIG M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
MRS. CORY BERNARD LCSW
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DR. DINESH S. SHAH M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DANIELLE KIREI PA
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
RAJITHA REDDY
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ALLANA R LEE D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
ANDREA LYNCH PA-C
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-6595
JAMSHID A MARVASTI, M.D. P.C.
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040
Capitol Planning Region (860) 643-1166

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.

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 8 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.