Healthcare Provider Details

I. General information

NPI: 1447171194
Provider Name (Legal Business Name): MARY MORGAN MULLARKY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 30TH ST
ASHLAND KY
41101-1942
US

IV. Provider business mailing address

914 FRANCIS CT
HUNTINGTON WV
25701-2540
US

V. Phone/Fax

Practice location:
  • Phone: 304-962-2030
  • Fax:
Mailing address:
  • Phone: 304-962-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW042617859
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: