Ms Constance Joylyn Mulder, LISW-S, LICDC-CS is a
Social Worker - Clinical based in Portsmouth, Ohio. Ms Constance Joylyn Mulder is licensed to practice in Ohio (license number 0008749) and her current practice location is
7048 Front St, Portsmouth, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 456-7079.
NPI number for Ms Constance Joylyn Mulder is 1790896405 and her current mailing address is Po Box 83, Wheelersburg, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790896405.
Healthcare Provider's Profile
| Full Name | Ms Constance Joylyn Mulder |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 7048 Front St, Portsmouth, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790896405
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/28/2015
Medical Identifiers
Medical identifiers for Ms Constance Joylyn Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790896405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 923289 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0008749 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | DP00944461 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3537 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Constance Joylyn Mulder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Constance Joylyn Mulder, LISW-S, LICDC-CS
Po Box 83,
Wheelersburg, OH 45694-0083
Ph: (740) 456-7079 | Ms Constance Joylyn Mulder, LISW-S, LICDC-CS
7048 Front St,
Portsmouth, OH 45662-7103
Ph: (740) 456-7079 |
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